Konrad Waldemar De Grandville in Milwaukee - Family Medicine

Konrad Waldemar De Grandville - NPI 1831367564

Konrad Waldemar De Grandville is a Family Medicine in Milwaukee, Wisconsin. Konrad Waldemar De Grandville practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Konrad Waldemar De Grandville is 1831367564. The last update date is 2023-02-02.

Konrad Waldemar De Grandville's current location address is 2900 W Oklahoma Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4146496732. The mailing address for Konrad Waldemar De Grandville is 2900 W Oklahoma Ave, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Konrad Waldemar De Grandville
Address 2900 W Oklahoma Ave, Milwaukee, Wisconsin
Phone Number 4146496732
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1831367564
Provider Enumeration Date 2008-02-15
Last Updated Date 2023-02-02

Provider Mailing Address Detail

Address 2900 W Oklahoma Ave
City Milwaukee
State Wisconsin (WI)
Post Code 53215
Phone Number 4146496732
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 313994
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100011098 WI --

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FAQs about Konrad Waldemar De Grandville

What is the unique identification code assigned to Konrad Waldemar De Grandville by the Centers for Medicare & Medicaid Services?

The Konrad Waldemar De Grandville has been issued the NPI (National Provider Identifier) 1831367564. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Konrad Waldemar De Grandville's facilities are geographically located?

The facilities of Konrad Waldemar De Grandville are physically situated at the following location: 2900 W Oklahoma Ave, Milwaukee, WI, 53215.

What is the Konrad Waldemar De Grandville's specialty and taxonomy code?

The Konrad Waldemar De Grandville's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When did the Konrad Waldemar De Grandville receive its 1831367564?

The Konrad Waldemar De Grandville was issued its 1831367564 on 2008-02-15, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Konrad Waldemar De Grandville, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Konrad Waldemar De Grandville, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-02-02.

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