| Brian J Dudor, MD | |
|
S74 W16775 Janesville Road, Muskego, WI 53150-7742 | |
| (414) 422-2180 | |
| (414) 422-2185 |
| Full Name | Brian J Dudor |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | S74 W16775 Janesville Road, Muskego, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942388459 | NPI | - | NPPES |
| 32430300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39036 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Milwaukee, WI | Home health agency |
| Aurora At Home | Wauwatosa, WI | Hospice |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J Dudor, MD 100 - 15th Avenue, Ste 180, South Milwaukee, WI 53172-1160 Ph: (414) 768-5430 | Brian J Dudor, MD S74 W16775 Janesville Road, Muskego, WI 53150-7742 Ph: (414) 422-2180 |
Dr. Christopher Joseph Bermudez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-4000 Fax: 414-422-4001 | |
Maysa Sameh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-4000 | |
Dragos Ghinea, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-4000 Fax: 414-422-4001 | |
Trista Kleppin, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-4000 |