Jean A Ibric
CLEANSLATE MEDICAL GROUP OF WISCONSIN SC


Address: 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871
Phone: 2629014450

Jean A Ibric (NPI# 1871608356, PAC ID# 3476568486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1871608356
PAC ID by PECOS 3476568486
Professional Enrollment ID I20060213000522
Full Name Jean A Ibric
Organization Legal Name CLEANSLATE MEDICAL GROUP OF WISCONSIN SC
Address 20611 Watertown Rd
Suite E
Waukesha
WI 53186-1871
Phone Number 2629014450
Gender F
Credential MD
Medical School UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year 1988
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 4284905134
Number of Group Practice Members 24
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871 2629014450 CLEANSLATE MEDICAL GROUP OF WISCONSIN SC

Organization Information

Organization Legal Name CLEANSLATE MEDICAL GROUP OF WISCONSIN SC
Physicians 24

Physicians with the same organization

Name Specialty Organization Address
Marta Obniski Nurse Practitioner Cleanslate Medical Group of Wisconsin Sc 579 Donofrio Dr, Suite 1, Madison, WI 53719-2838
Paul Antonissen Nurse Practitioner Cleanslate Medical Group of Wisconsin Sc 7201 Green Bay Rd, Kenosha, WI 53142-3532
Gregory Kaftan Preventative Medicine Cleanslate Medical Group of Wisconsin Sc 377 W River Woods Pkwy, Suite 201, Glendale, WI 53212-1088
Lauren Anne Talatzko Physician Assistant Cleanslate Medical Group of Wisconsin Sc 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871
Viet Vignieri Physician Assistant Cleanslate Medical Group of Wisconsin Sc 1111 S 6th St, Milwaukee, WI 53204-2301
Alice S Haupt Obstetrics/gynecology Cleanslate Medical Group of Wisconsin Sc 800 55th St, Kenosha, WI 53140-3733
Louis-marcel A Cesar Emergency Medicine Cleanslate Medical Group of Wisconsin Sc 1111 S 6th St, Milwaukee, WI 53204-2301
Jodi Kruszka Nurse Practitioner Cleanslate Medical Group of Wisconsin Sc 1111 S 6th St, Milwaukee, WI 53204-2301
Sarah M Slaasted Nurse Practitioner Cleanslate Medical Group of Wisconsin Sc 377 W River Woods Pkwy, Suite 201, Glendale, WI 53212-1088
Bruce Alan Weiss Internal Medicine Cleanslate Medical Group of Wisconsin Sc 377 W River Woods Pkwy, Suite 201, Glendale, WI 53212-1088

Office Location

Street Address 20611 WATERTOWN RD
SUITE E
City WAUKESHA
State WI
Zip 53186-1871

Physicians in the same location

Name Specialty Organization Address
Lauren Anne Talatzko Physician Assistant Cleanslate Medical Group of Wisconsin Sc 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871
Zenia Sarker Nurse Practitioner Cleanslate Medical Group of Wisconsin Sc 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871
Judith A May Anesthesiology Cleanslate Medical Group of Wisconsin Sc 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871

Physicians in the same zip code

Name Specialty Organization Address
Renelle L Staus Nurse Practitioner Aurora Medical Group Inc W231 N1440 Corporate Court, Waukesha, WI 53186-1303
Lauren P Rimoin Dermatology Aurora Medical Group Inc W231 N1440 Corporate Court, Waukesha, WI 53186-1303
David Munoz Family Medicine Aurora Medical Group Inc W231 N1440 Corporate Court, Waukesha, WI 53186-1303
Anjoo M Gharia Family Medicine Aurora Medical Group Inc W231 N1440 Corporate Court, Waukesha, WI 53186-1303
Crystal Y Rieser Family Medicine Aurora Medical Group Inc W231 N1440 Corporate Court, Waukesha, WI 53186-1303
Chihab E Bilal Family Medicine Aurora Medical Group Inc W231 N1440 Corporate Court, Waukesha, WI 53186-1303
Jennifer J Nicpon Nurse Practitioner Aurora Medical Group Inc W231 N1440 Corporate Court, Waukesha, WI 53186-1303
Marie A Dauenhauer Dermatology Aurora Medical Group Inc W231 N1440 Corporate Court, Waukesha, WI 53186-1303
Gregory G Sehring Family Medicine Aurora Medical Group Inc W231 N1440 Corporate Court, Waukesha, WI 53186-1303
Colleen M Koster Clinical Social Worker Aurora Medical Group Inc W231 N1440 Corporate Court, Waukesha, WI 53186-1303
Find all physicians in zip 53186

Competitor

Search similar physicians

City WAUKESHA
Zip Code 53186
Specialty FAMILY MEDICINE
City + Specialty WAUKESHA + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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