Individual provider · NPI-1

Jeffrey Mark Baranek, PA-C

Physician Assistant, Medical · Oak Creek, WI

NPI number1922091446

StatusActive

Last updated in NPPESAug 29, 2018

Details

NPI: 1922091446
Entity type: Individual (NPI-1)
Name: Mr. Jeffrey Mark Baranek
Credential: PA-C
Sex: Male
Sole proprietor: No
Enumeration date: Aug 30, 2005
Last updated: Aug 29, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363AM0700X	Physician Assistant, Medical	510-023	WI	Yes

Practice location

7901 S 6th St
Oak Creek, WI 53154

Phone 414-346-8000 · Fax 414-346-8010

Mailing address

7901 S 6th St
Oak Creek, WI 53154-2010

Phone 414-346-8000 · Fax 414-346-8010

Other practice locations

2025 W Oklahoma Ave
Suite 102
Milwaukee, WI 53215-4455

Phone 414-647-6980 · Fax 414-647-6981

4805 S Moorland Rd
New Berlin, WI 53151-7401

Phone 262-798-7200 · Fax 262-798-7271

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.