Individual
JARED M LIEUNGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PAC
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6550
(414) 805-6565
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6550
(414) 805-6565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8607
WI
Other
Enumeration date
06/30/2025
Last updated
11/03/2025
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