IndividualActive
Jonny Macias Tejada, M.D.
NPI 1508075409 · Geriatric Medicine (Internal Medicine) Physician · Milwaukee, WI
Provider details
- NPI number
- 1508075409
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 52098-020 (WI)
Mailing address
Po Box 735044
Chicago, IL 60673-5044
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2024-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.