Individual
DR. JEFFREY R MAEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9252 N GREEN BAY ROAD, BROWN DEER, WI 53209-1104
(414) 527-7500
(414) 365-6320
Mailing address
9252 N GREEN BAY ROAD, BROWN DEER, WI 53209-1104
(414) 527-7500
(414) 365-6320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40201
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002006261Y
HUMANA
—
05
—
33348600
—
WI
Enumeration date
05/12/2006
Last updated
11/10/2010
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