Provider Demographics
NPI:1982067120
Name:MAJEROWSKI, JACQUELYN MARJORIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:MARJORIE
Last Name:MAJEROWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:JACQUELYN
Other - Middle Name:MARJORIE
Other - Last Name:SWIETLIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13800 W NORTH AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-4977
Mailing Address - Country:US
Mailing Address - Phone:262-754-4488
Mailing Address - Fax:
Practice Address - Street 1:13800 W NORTH AVE STE 100
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-4977
Practice Address - Country:US
Practice Address - Phone:262-754-4488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2021-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020-01917207N00000X
WI70038-20207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology