Individual
DR. IVELISSE VARGAS JON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6510 W LAYTON AVE STE 102, GREENFIELD, WI 53220-4563
(414) 282-7209
(414) 282-9948
Mailing address
6510 W LAYTON AVE STE 102, GREENFIELD, WI 53220-4563
(414) 282-7209
(414) 282-9948
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1026-25
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00312600
NJ
Other
Enumeration date
05/17/2009
Last updated
04/04/2018
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