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JONNY ALEXANDER MACIAS TEJADA M.D.

Individual Provider (NPI-1) Active

Internal Medicine, Geriatric Medicine

Provider Information

NPI Number
1508075409
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
2900 W OKLAHOMA AVE, MILWAUKEE, WI, 532154330
Phone
(414) 649-6000

Specialties & Taxonomies

Family Medicine, Geriatric Medicine License: WI #52098-020
Internal Medicine, Geriatric Medicine Primary License: WI #52098-020

All Addresses

MAILING

PO BOX 735044

CHICAGO, IL, 606735044

(800) 326-2250

LOCATION

2900 W OKLAHOMA AVE

MILWAUKEE, WI, 532154330

(414) 649-6000