Doctor Name: | DR. JEFFREY WARD KALENAK |
NPI Number: | 1043373830 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | W127000 |
Business Practice Address: | 2600 N Mayfair Rd Milwaukee, WI - 532261309 |
Business Phone Number: | 4142664499 |
Business Fax Number: | 4142664480 |
Mailing Address: | 2600 N Mayfair Rd, MILWAUKEE |
State: | WI |
Postal Code: | 532261309 |
Phone Number: | 4142664499 |
Fax Number: | 4142664480 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 04/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | W127000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |