Jeffrey Carroll, MD

NPI #1255332144 in Berlin, Wisconsin

Provider Information

NPI Number: 1255332144
Entity Type: Individual
Name: Jeffrey Carroll, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 2, 2005
Last Updated: Dec 24, 2009

Practice Location

Address: 225 MEMORIAL DR STE 1400
City: Berlin
State: Wisconsin
ZIP Code: 54923-1243
Phone: (920) 361-5760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Surgery	208600000X

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