Search › Wisconsin › 122300000X
Jerry Ceilesh, D.D.S
NPI 1790935914 · on the registry since 2008
Practice
- Address
- 21425 Spring St
Union Grove, WI 53182 - Phone
- (262) 878-2411
- Fax
- (262) 878-2922
- Organisation at this address
- Milwaukee Vamc
Va Medical Center
State Of WisconsinInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-09-24
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