Individual
JEFFREY VERHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19045 W CAPITOL DR, SUITE 101, BROOKFIELD, WI 53045-2706
(262) 790-9800
(262) 790-9893
Mailing address
6908 N SANTA MONICA BLVD, FOX POINT, WI 53217-3942
(414) 352-2082
(414) 352-5279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40357900
—
WI
Enumeration date
07/25/2006
Last updated
04/14/2010
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