Jordan Annis
NPI 1548873292 · on the registry since 2020
Practice
- Address
- 15255 Watertown Plank Rd Ste 100
Elm Grove, WI 53122 - Phone
- (262) 784-7770
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-06
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