JILLIAN LEE THEOBALD

MILWAUKEE, WI
NPI1750606968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WI  64253)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IL  125.057942)
207PT0002X Emergency Medicine, Medical Toxicology
(Licence: WI  64253)
Enumeration Date2010-03-30
Last Update Date2022-11-07
Business Address
Dr. JILLIAN LEE THEOBALD MD PhD
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6450
Mailing Address
Dr. JILLIAN LEE THEOBALD MD PhD
9200 W WISCONSIN AVE DEPT OF EMERGENCY MEDICINE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6450