Search › Wisconsin › 1223G0001X
Gerald Jelacic, D.D.S
NPI 1356325732 · on the registry since 2005
Practice
- Address
- N56w14044 Silver Spring Dr # 101
Menomonee Falls, WI 53051 - Phone
- (262) 373-1850
- Fax
- (262) 373-1853
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-01
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