Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 72669-20 | WI |
NPI | 1407263924 |
---|---|
Provider Name | Dr. Jeffrey James Helgager |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2014 |
Last Update Date | 25/01/2021 |