Individual
DR. JAMEY JILL JICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, WAUKESHA, WI 53188-1135
(262) 549-3030
Mailing address
N14W23900 STONE RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, WAUKESHA, WI 53188-1135
(262) 549-3030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49790-020
WI
Other
Enumeration date
11/02/2006
Last updated
01/06/2012
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