Individual
HOONBAE JEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 646-2550
(414) 646-6314
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
304568
LA
204F00000X
Transplant Surgery Physician
Primary
86129
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100372317
—
WI
05
—
2437488
—
LA
01
—
565156YJB9
MEDICARE
LA
Enumeration date
05/03/2006
Last updated
11/06/2025
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