Search › Wisconsin › 1223P0106X
Jay Mackman, DDS
NPI 1821194184 · on the registry since 2006
Practice
- Address
- 2626 N 76th St
Wauwatosa, WI 53213 - Phone
- (414) 476-9400
- Organisation at this address
- Lmg, Inc
Jay L. Mackman, Dds
Affiliated Health Of Wisconsin Ltd.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 1223P0106X
1223P0106X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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