| Anthony J Wampole, MD | |
|
36500 Aurora Dr, Summit, WI 53066-4899 | |
| (262) 434-5000 | |
| Not Available |
| Full Name | Anthony J Wampole |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 36500 Aurora Dr, Summit, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124306113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 60294-20 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 60294-20 (Wisconsin) | Primary |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony J Wampole, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: () - | Anthony J Wampole, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-5000 |
Shirley M Potsch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Karin Hamilton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Dr. Brandon Michael Rucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 |