Search › Wisconsin › 103TS0200X
John David
NPI 1104708072 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1331 E Randolph Ct Apt A
Milwaukee, WI 53212 - Phone
- (414) 963-6272
- Fax
- (414) 963-6272
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
- 2025-07-22
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