Laack, Jonathan Tyler

Laack, Jonathan Tyler is an individual health care provider with primary practice located at 3400 Ministry Pkwy , Weston WI 54476-5220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Laack, Jonathan Tyler can be contacted via phone (715) 393-3000.

Contact Information

Primary practice address
3400 Ministry Pkwy Weston WI 54476-5220
Phone: (715) 393-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101020493 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 67074 Wisconsin

Profile Details

NPI number 1487090072
LBN Legal business name Laack, Jonathan Tyler
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2013
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers