Provider Demographics
NPI:1205057312
Name:DURSKI, JEFF (DO)
Entity type:Individual
Prefix:DR
First Name:JEFF
Middle Name:
Last Name:DURSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14999 W BELOIT RD STE A
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-7438
Mailing Address - Country:US
Mailing Address - Phone:414-525-1030
Mailing Address - Fax:414-525-1070
Practice Address - Street 1:14999 W. BELOIT ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151
Practice Address - Country:US
Practice Address - Phone:414-525-1030
Practice Address - Fax:414-525-1070
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2366-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor