Search › Wisconsin › 103TS0200X
Edgar Jordan
NPI 1023921194 · on the registry since 2026 · sole proprietor
Practice
- Address
- 7501 N Granville Rd
Milwaukee, WI 53224 - Phone
- (262) 236-1231
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin