Individual
RENEE R JAHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 VALLEY AVE, WEST BEND, WI 53095-5312
(262) 338-1123
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
38053-020
WI
207R00000X
Internal Medicine Physician
Primary
38053
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32297400
—
WI
01
—
P00934574
RR MEDICARE
WI
Enumeration date
04/06/2006
Last updated
01/31/2024
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