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1760466502
JAMES THOMAS JERZAK
GREEN BAY, WI
NPI
1760466502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 25960)
Enumeration Date
2005-12-05
Last Update Date
2012-05-18
Business Address
-- JAMES THOMAS JERZAK MD
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4700
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Mailing Address
-- JAMES THOMAS JERZAK MD
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4700
Copy
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