| Dr Walter Brummund, MD,PHD | |
|
2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226-1409 | |
| (414) 475-9101 | |
| (414) 475-9203 |
| Full Name | Dr Walter Brummund |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology - Clinical & Laboratory Immunology |
| Location | 2500 N Mayfair Rd, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487708988 | NPI | - | NPPES |
| 30667400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | (Wisconsin) | Secondary |
| 207KI0005X | Allergy & Immunology - Clinical & Laboratory Immunology | (Wisconsin) | Primary |
| Entity Name | Allergy & Asthma Centers,s.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699829192 PECOS PAC ID: 9931241460 Enrollment ID: O20100122000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter Brummund, MD,PHD 1701 Wedgewood Dr W, Elm Grove, WI 53122-1056 Ph: () - | Dr Walter Brummund, MD,PHD 2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226-1409 Ph: (414) 475-9101 |
Dr. Terry S Graves, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226 Phone: 414-475-9101 Fax: 414-475-9203 | |
James A Cranberg, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226 Phone: 414-475-9101 Fax: 414-475-9203 | |
Dr. Mary Elizabeth Burnett, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226 Phone: 414-475-9101 Fax: 414-475-9203 | |
Sheldon R Forman, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 10400 W North Ave, Wauwatosa, WI 53226 Phone: 414-479-2300 |