Individual
JAMIE O EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3111 W RAWSON AVE, #200, FRANKLIN, WI 53132
(414) 325-4320
(414) 761-1921
Mailing address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41353
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
41353
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32675500
—
WI
Enumeration date
09/11/2006
Last updated
02/25/2020
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