Individual
DR. JEFFREY THOMAS VANBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2400
(262) 928-7621
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2400
(262) 928-7621
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
41891-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32647600
—
WI
Enumeration date
09/26/2005
Last updated
12/14/2012
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