Search › Wisconsin › 208000000X
Jay Miesfeld, M.D
NPI 1437354602 · on the registry since 2007
Practice
- Address
- 109 Warren St Ste 4
Beaver Dam, WI 53916 - Phone
- (920) 885-3305
- Fax
- (920) 885-5506
- Organisation at this address
- Community Pediatrics Sc
Richard P. Jennings D.O. S. C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208000000X
- Licence states on file
- IA, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-24
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