| Dr Glenn Toth, MD | |
| 
					403 N Grand Ave, Waukesha, WI 53186-4913  | |
| (262) 547-3055 | |
| (262) 547-2129 | 
| Full Name | Dr Glenn Toth | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 403 N Grand Ave, Waukesha, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851300933 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 33436 (Wisconsin) | Primary | 
| Entity Name | Village Primary Care Providers Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003324617 PECOS PAC ID: 1355603069 Enrollment ID: O20180316001039  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Glenn Toth, MD 403 N Grand Ave, Waukesha, WI 53186-4913 Ph: (262) 547-3055  | Dr Glenn Toth, MD 403 N Grand Ave, Waukesha, WI 53186-4913 Ph: (262) 547-3055  | 
Dr. Susanne M Krasovich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Nw Barstow St, Waukesha Family Practice Center, Waukesha, WI 53188 Phone: 262-548-6903 Fax: 262-548-3820  | |
Dayken Elise Underdahl, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 W Moreland Blvd, Waukesha, WI 53188 Phone: 262-542-9100  | |
Madison Lund, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 Nw Barstow St Ste 210, Waukesha, WI 53188 Phone: 262-548-6903  | |
Carolyn K Day, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 W Moreland Blvd, Prohealth Care Medical Associates Inc, Waukesha, WI 53188 Phone: 262-542-9100 Fax: 262-542-7366  | |
Dr. Kathleen A Brass, M.D., PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2130 Big Bend Rd, Prohealth Care Medical Associates, Waukesha, WI 53189 Phone: 262-928-7555  | |
Christine Ann Malechek, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N20w22961 Watertown Rd, Waukesha, WI 53186 Phone: 262-875-4521  | |
Monica Anne Hammer, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 Nw Barstow St Ste 201, Waukesha, WI 53188 Phone: 262-548-6903  |