Keesler, Jack Michael

Keesler, Jack Michael is an individual health care provider with primary practice located at 1801 W Wisconsin Ave , Milwaukee WI 53233-2186. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Keesler, Jack Michael can be contacted via phone (414) 288-5485.

Contact Information

Primary practice address
1801 W Wisconsin Ave Milwaukee WI 53233-2186
Phone: (414) 288-5485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Prosthodontics 1223P0700X 1001385-15 Wisconsin

Profile Details

NPI number 1033563606
LBN Legal business name Keesler, Jack Michael
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2016
Last updated Sep 6th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers