Search › Wisconsin › 207R00000X
Jennifer Takata, D.O
NPI 1992724249 · on the registry since 2006
Practice
- Address
- 7322 236th Ave
Salem, WI 53168 - Phone
- (262) 671-7560
- Fax
- (262) 671-7565
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-06
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