Provider Demographics
NPI:1386617447
Name:WOHLFEIL, JILL P (MD)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:P
Last Name:WOHLFEIL
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:4555 W SCHROEDER DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223-1496
Mailing Address - Country:US
Mailing Address - Phone:414-365-3210
Mailing Address - Fax:414-365-3225
Practice Address - Street 1:W359N5002 BROWN ST
Practice Address - Street 2:SUITE 208
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-3366
Practice Address - Country:US
Practice Address - Phone:262-560-1920
Practice Address - Fax:262-567-4736
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2013-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI34188-20207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1386617447Medicaid
WI1386617447Medicaid