Whalio Doctors

NPI 1104842707

Marijan Jednacak, MD

Practitioner Anesthesiology Physician Kenosha, WI

Practice location

Address
10400 75th St, Kenosha, WI 53142-7884
Phone
(262) 697-7000
Mailing address
PO Box 735044, Chicago, IL 60673-5044

Registered specialties

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 45210020 (WI)

Registry record

NPI
1104842707
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jul 2006
Record last updated
2 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.