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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN TYLER LAACK, D.O.

Active

DR. JONATHAN TYLER LAACK, D.O. is a Emergency Medicine healthcare provider located in WESTON, Wisconsin. NPI 1487090072 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · WESTON, WI

Registration Details

NPI Number
1487090072
Provider Type
Individual
Gender
Male
NPI Issued
May 22, 2013 (13.22699447712 yrs)
Last Updated
Jul 21, 2022
Licenses
5101020493 (MI)
67074 (WI)

Practice Information

Address
3400 MINISTRY PKWY
WESTON, WI, 544765220
Browse WI providers · Browse ZIP 54476
Phone
7153933000
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in WESTON, WI

Name Credential NPI
DR. CHOON H P'NG M.D. 1497793533
DR. STEVEN A MUHLE M.D. 1174561195
DR. MICHAEL D CURTIS M.D. 1982646006
DR. ELLEN J WESTDORP M.D. 1407898521
DR. JAMES STEWART WATSON III M.D. 1497797351
CARY G TAUCHMAN MD 1891800389
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.