Mlsna, Jacqueline S

Mlsna, Jacqueline S is an individual health care provider with primary practice located at 2500 N Mayfair Rd Suite 500, Wauwatosa WI 53226-1409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Mlsna, Jacqueline S can be contacted via phone (414) 257-2525.

Contact Information

Primary practice address
2500 N Mayfair Rd Suite 500 Wauwatosa WI 53226-1409
Phone: (414) 257-2525
Fax: (414) 257-1772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 29485 Wisconsin

Profile Details

NPI number 1710972096
LBN Legal business name Mlsna, Jacqueline S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Feb 11th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710972096 NPPES
Wisconsin MEDICAID 31831600

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