Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 65846 | WI |
NPI | 1124386016 |
---|---|
Provider Name | Dr. Mei Jiang |
First Address | Marshfield, WI 54449 |
Second Address | Marshfield, WI 54449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2012 |
Last Update Date | 30/03/2021 |