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Jack Michael Keesler

Prosthodontist

1801 W Wisconsin Ave
Milwaukee , Wisconsin 53233-2186

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Jack Michael Keesler

Prosthodontist

1801 W Wisconsin Ave
Milwaukee , Wisconsin 53233-2186

Write a Review Save Call

Jack Michael Keesler

Prosthodontist

1801 W Wisconsin Ave
Milwaukee , Wisconsin 53233-2186

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Prosthodontist

Languages spoken

  • English

Location

1801 W Wisconsin Ave Milwaukee , Wisconsin 53233-2186

First Address

  • Jack Michael Keesler
  • 1571 Worth Ave
  • Neenah, WI
  • Zip : 54956-5042
  • Phone :

Second Address

  • Jack Michael Keesler
  • 1801 W Wisconsin Ave
  • Milwaukee, WI
  • Zip : 53233-2186
  • Phone : (414) 288-5485

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FAQs


Where did Jack Michael Keesler attend graduate school?

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Where did Jack Michael Keesler do his residency?

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Where did Jack Michael Keesler do his fellowship?

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Is Jack Michael Keesler board certified?

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What type of doctor is Jack Michael Keesler

Prosthodontist

In what state does Jack Michael Keesler practice in?

Wisconsin

Where is Jack Michael Keesler ’s practice located?

1801 W Wisconsin Ave , Milwaukee, Wisconsin, 53233-2186

What is Jack Michael Keesler ’s gender?

Male

Is Jack Michael Keesler a sole practitioner?

No

Is Jack Michael Keesler accepting new patients?

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What languages does Jack Michael Keesler speak?

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Does Jack Michael Keesler accept insurance?

Yes, Jack Michael Keesler accepts insurance

Does Jack Michael Keesler offers telemedicine?

Jack Michael Keesler has not indicated if he offers telemedicine

What is Jack Michael Keesler ’s professional license number?

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What is Jack Michael Keesler ’s NPI number?

1033563606

Does Jack Michael Keesler have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0700X Prosthodontist 1001385-15 WI

National Provider Identifier

NPI 1033563606
Provider Name Jack Michael Keesler
First Address Neenah, WI 54956-5042
Second Address Milwaukee, WI 53233-2186
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 20/04/2016
Last Update Date 06/09/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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