Doctor Name: | DR. JEFFREY T JUNIG |
NPI Number: | 1366409823 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 32668-020 |
Business Practice Address: | 1020 S Main St Fond Du Lac, WI - 549356102 |
Business Phone Number: | 9209239054 |
Business Fax Number: | 9203229193 |
Mailing Address: | 1020 S Main St, FOND DU LAC |
State: | WI |
Postal Code: | 549356102 |
Phone Number: | 9209239054 |
Fax Number: | 9203229193 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 32668-020 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |