Individual
DR. JONATHAN E JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
46701
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34645100
—
WI
Enumeration date
06/27/2006
Last updated
09/25/2023
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