Individual
JAMES A PUERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13111 N PORT WASHINGTON ROAD, MEQUON, WI 53097
(262) 243-7423
(262) 243-7407
Mailing address
4874 N WOODBURN STREET, WHITEFISH BAY, WI 53217
(414) 906-8056
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
38934
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32328100
—
WI
Enumeration date
09/27/2006
Last updated
07/08/2007
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