Doctor Name: | JILL MIGON |
NPI Number: | 1053381566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | 915-025 |
Business Practice Address: | 6255 University Ave Suite 204 Middleton, WI - 535623485 |
Business Phone Number: | 6088318086 |
Business Fax Number: | 6084420126 |
Mailing Address: | 6255 University Ave, Suite 204 MIDDLETON |
State: | WI |
Postal Code: | 535623485 |
Phone Number: | 6088318086 |
Fax Number: | 6084420126 |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 12/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 915-025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |