is a Critical Care Medicine in Milwaukee, Wisconsin. practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for is 1740490697. The last update date is .
's current location address is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4149557040 and fax number 4149550175. The mailing address for is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
Phone Number | 4149557040 |
Fax Number | 4149550175 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1740490697 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 9200 W Wisconsin Ave |
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City | Milwaukee |
State | Wisconsin (WI) |
Post Code | 532263522 |
Phone Number | 4149557040 |
Fax Number | 4149550175 |
Provider's Primary Taxonomy Detail
Speciality | Critical Care Medicine |
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Taxonomy | 207Lc0200X |
Licence No | 69076 |
Definition: An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
ENROLLED | IL | -- | |
1740490697 | WI | -- |
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