Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY K CHISM, DPM
Active Sole ProprietorPodiatrist · MERRILL, WI
Registration Details
- NPI Number
- 1285621730
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2005 (20.556896733828 yrs)
- Last Updated
- May 1, 2009
- License
-
748-025 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 E 2ND STMERRILL, WI, 544522319Browse WI providers · Browse ZIP 54452
- Phone
- 7155367444
- Fax
- 7155361547
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.