| Dr Allan Richard Pasch, MD | |
|
5900 S Lake Dr, Cudahy, WI 53110-3171 | |
| (414) 489-4190 | |
| (414) 332-1005 |
| Full Name | Dr Allan Richard Pasch |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 5900 S Lake Dr, Cudahy, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073513974 | NPI | - | NPPES |
| 32705400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 27484 (Wisconsin) | Secondary |
| 208600000X | Surgery | 27484 (Wisconsin) | Primary |
| 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 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Allan Richard Pasch, MD 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 489-4190 | Dr Allan Richard Pasch, MD 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 489-4190 |
Gregory M. Rosner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr., Lakeshore Medical Clinic, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 | |
Nicholas N Armstrong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5900 S. Lake Drive, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 | |
Dr. Laam Ko, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-744-6589 Fax: 414-747-8848 |