Jennifer Takata, D.O.

NPI #1992724249 in Salem, Wisconsin

Provider Information

NPI Number: 1992724249
Entity Type: Individual
Name: Jennifer Takata, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Jul 18, 2006
Last Updated: Jan 6, 2020

Practice Location

Address: 7322 236TH AVE
City: Salem
State: Wisconsin
ZIP Code: 53168-9664
Phone: (262) 671-7560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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