Provider Demographics
NPI:1598836736
Name:UNGER, JENNIFER JOY (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JOY
Last Name:UNGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 S HOWELL AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-1407
Mailing Address - Country:US
Mailing Address - Phone:414-570-2020
Mailing Address - Fax:
Practice Address - Street 1:7001 S HOWELL AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-1407
Practice Address - Country:US
Practice Address - Phone:414-570-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI47775-020207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1598836736Medicaid
WI000552485Medicare PIN