Miesfeld, Jay M

Miesfeld, Jay M is an individual health care provider with primary practice located at 109 Warren St Ste 4 , Beaver Dam WI 53916-3082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Miesfeld, Jay M can be contacted via phone (920) 885-3305.

Contact Information

Primary practice address
109 Warren St Ste 4 Beaver Dam WI 53916-3082
Phone: (920) 885-3305
Fax: (920) 885-5506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R-8095 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54813-20 Wisconsin

Profile Details

NPI number 1437354602
LBN Legal business name Miesfeld, Jay M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Oct 26th, 2011 - about 13 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.

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