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NPI Code Detail

MEDICARE: MICHAEL W JONES MD

MEDICARE:   MICHAEL W JONES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician53443-021WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164403226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL W JONES MD
Provider Business Mailing Address
First Line : 480 E DIVISION ST
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-3734
Country : US
Telephone Number : 920-926-4100
Fax Number : 920-926-4190
Provider Business Practice Location Address
First Line : 480 E DIVISION ST
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-3734
Country : US
Telephone Number : 920-926-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 03/11/2026

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