Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY ROBERT ANCLAM, D.O.
ActiveDR. JEREMY ROBERT ANCLAM, D.O. is a Gastroenterology healthcare provider located in MANITOWOC, Wisconsin. NPI 1841495058 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · MANITOWOC, WI
Registration Details
- NPI Number
- 1841495058
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2007 (19.126804076154 yrs)
- Last Updated
- Jul 26, 2013
- Licenses
-
5101017285 (MI)60788 (WI)
Practice Information
- Address
-
1900 WOODLAND DRMANITOWOC, WI, 542209662Browse WI providers · Browse ZIP 54220
- Phone
- 9203206212
- Fax
- 9206845548
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in MANITOWOC, WI
| Name | Credential | NPI |
|---|---|---|
| WILLIAM ALVAREZ | M.D. | 1780792887 |
| JAMES W HOFTIEZER | M.D. | 1932217924 |
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.