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1801039995
JAKE RONALD THEIS
MADISON, WI
NPI
1801039995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: WI 62065)
Enumeration Date
2009-04-20
Last Update Date
2014-11-21
Business Address
Dr. JAKE RONALD THEIS M.D.
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-8340
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Mailing Address
Dr. JAKE RONALD THEIS M.D.
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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