JONNY MACIAS TEJADA, M.D.
Internal Medicine - Geriatric Medicine
Active
Individual
NPI: 1508075409
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine - Geriatric Medicine | 207QG0300X | No | 52098-020 (WI) |
| Internal Medicine - Geriatric Medicine | 207RG0300X | Yes | 52098-020 (WI) |
Frequently Asked Questions
NPI 1508075409 is the National Provider Identifier for JONNY MACIAS TEJADA, M.D., a Internal Medicine - Geriatric Medicine provider located in Milwaukee, WI. This NPI was enumerated on May 21, 2007.
JONNY MACIAS TEJADA, M.D. practices at 2900 W OKLAHOMA AVE, Milwaukee, WI 53215.
Quick Facts
- NPI
- 1508075409
- Type
- Individual
- Enumerated
- May 21, 2007
- Last Updated
- Sep 24, 2024
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