Individual
DR. JERALD P MARIFKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3115 W VILLA DR, FRANKLIN, WI 53132-7705
(414) 202-1352
Mailing address
3115 W VILLA DR, FRANKLIN, WI 53132-7705
(414) 202-1352
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36996
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821091679
—
WI
Enumeration date
05/24/2005
Last updated
11/29/2024
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