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JON MICHAEL ENGLUND M.D.

Physicians Family Medicine

Provider NPI: 1871552125

Provider Information:
 JON MICHAEL ENGLUND M.D.
Gender: M
Not Sole Proprietor

Practice Location:
N15W28300 GOLF RD  PEWAUKEE, WI 53072-4800 US
Tel: 262-544-5311  Fax: 262-544-6820

Business Mailing Address:
N15W28300 GOLF RD  PEWAUKEE, WI 53072-4800 US
Tel: 262-303-5055  Fax: 262-303-5057

NPI Information:
NPI: 1871552125
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XPhysicians
Family Medicine
WI46526-020
Y207QS0010XPhysicians
Family Medicine
WI46526

Other Provider Identifiers:

IssuerNumberStateType
1871552125WI05



American Medical Association 2012 taxonomy code information

Code: 207QS0010X

Type:

Classification:



Definition:



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