Individual
MR. JONATHAN W. FLORCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-9719
(414) 259-0469
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-9719
(414) 259-0469
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
49587
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942213996
—
WI
Enumeration date
08/14/2006
Last updated
10/12/2012
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