Jay M. Miesfeld, M.D.

Pediatrics Physician · Beaver Dam, WI

Individual Active NPI

NPI number 1437354602

Practice location

109 Warren St Ste 4
Beaver Dam, WI 53916-3082
Phone
(920) 885-3305
Fax
(920) 885-5506

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NPI record

NPI
1437354602
Entity type
Individual (Type 1)
Enumeration date
June 18, 2007
Last updated
February 24, 2025
Certified
February 24, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 54813-20 WI
Pediatrics Physician 208000000X R-8095 IA

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

About Dr. Miesfeld

Jay M. Miesfeld, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 109 Warren St Ste 4, Beaver Dam, WI 53916-3082. The NPI number 1437354602 was assigned on June 18, 2007 and the record was last updated on February 24, 2025.

Dr. Miesfeld lists 2 licenses in the registry: #54813-20 (WI) for Pediatrics Physician; #R-8095 (IA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay M. Miesfeld, M.D.?

The NPI number is 1437354602.

What is the phone number of Dr. Miesfeld?

The phone number listed for the practice location is (920) 885-3305.

Where is Dr. Miesfeld located?

109 Warren St Ste 4, Beaver Dam, WI 53916-3082.

What is the taxonomy code for Dr. Miesfeld?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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