IndividualActive
Jacob Peschman, M.D.
NPI 1396060679 · Surgical Critical Care Physician · Milwaukee, WI
Provider details
- NPI number
- 1396060679
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 56830 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-8623
Fax: (414) 805-8641
Approximate (ZIP-level) locationGet directions
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Registry dates
- Enumerated
- 2010-03-30
- Last updated
- 2021-06-24
- Certified
- 2021-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.