| Dr Cecille G Sulman, MD | |
|
9000 W Wisconsin Ave, Division Of Pediatric Otolaryngology, Milwaukee, WI 53226-4874 | |
| (414) 266-6467 | |
| (414) 266-2693 |
| Full Name | Dr Cecille G Sulman |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology - Pediatric Otolaryngology |
| Location | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003802166 | NPI | - | NPPES |
| 036-110180 | Medicaid | IL | |
| 1003802166 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 036-110180 (Illinois) | Secondary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 49373 (Wisconsin) | Primary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Childrens Specialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970405 PECOS PAC ID: 2567813447 Enrollment ID: O20240104002075 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cecille G Sulman, MD 9000 W Wisconsin Ave, Division Of Pediatric Otolaryngology, Milwaukee, WI 53226-4874 Ph: (414) 266-6467 | Dr Cecille G Sulman, MD 9000 W Wisconsin Ave, Division Of Pediatric Otolaryngology, Milwaukee, WI 53226-4874 Ph: (414) 266-6467 |
Dr. Michael Gorelik, Otolaryngology Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-266-2982 Fax: 414-266-6989 | |
Dr. Karl William Doerfer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave Fl 3, Milwaukee, WI 53226 Phone: 414-805-5580 Fax: 414-476-4701 | |
Dr. William F Prudlow, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9200 West Wisconsin, Froedtert & Med College Clin - West, Milwaukee, WI 53226 Phone: 414-805-3666 | |
Shishir N Sheth, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209 Phone: 414-352-3100 Fax: 414-247-4841 | |
S. Fredric Horwitz I, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2350 W Villard Ave, # 207, Milwaukee, WI 53209 Phone: 414-527-9800 Fax: 414-527-9803 | |
Dr. Adham Awwad Aljariri, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 8915 W Connell Ave, Milwaukee, WI 53226 Phone: 414-266-2000 |