Individual
JEFFREY GEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 N MAYFAIR RD, PLANK ROAD CLINIC, MILWAUKEE, WI 53226-3462
(414) 955-5990
(414) 955-6282
Mailing address
1155 N MAYFAIR RD, PLANK ROAD CLINIC, MILWAUKEE, WI 53226-3462
(414) 955-5990
(414) 955-6282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55328
WI
208000000X
Pediatrics Physician
55328
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730321209
—
WI
Enumeration date
03/30/2009
Last updated
11/07/2013
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