Individual
DR. JARED BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
900 N 92ND ST, MILWAUKEE, WI 53226-1202
(414) 805-3000
Mailing address
25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503-2526
(616) 391-3777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5151014952
MI
207R00000X
Internal Medicine Physician
Primary
81490-21
WI
Other
Enumeration date
04/09/2021
Last updated
06/28/2024
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