Jeffrey J Ickler, M.D.

NPI #1477656528 in Diberville, Mississippi

Provider Information

NPI Number: 1477656528
Entity Type: Individual
Name: Jeffrey J Ickler, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Sep 6, 2006
Last Updated: May 7, 2025

Practice Location

Address: 10241 BONEY AVE STE A
City: Diberville
State: Mississippi
ZIP Code: 39540-4889
Phone: (228) 967-7651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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