| Jack R Meyer, MD | |
|
200 Patriot Dr, Little Chute, WI 54140-1184 | |
| (920) 687-2800 | |
| Not Available |
| Full Name | Jack R Meyer |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 200 Patriot Dr, Little Chute, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093709651 | NPI | - | NPPES |
| 30756500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27277 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack R Meyer, MD 200 Patriot Dr, Little Chute, WI 54140-1184 Ph: (920) 687-2800 | Jack R Meyer, MD 200 Patriot Dr, Little Chute, WI 54140-1184 Ph: (920) 687-2800 |
Meena P Vir, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Patriot Dr, Little Chute, WI 54140 Phone: 920-687-2800 Fax: 920-687-2839 | |
Jessica L Peterson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Patriot Drive, Little Chute, WI 54140 Phone: 920-687-2800 |