| John David Lane, MD | |
|
500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | |
| (414) 434-0461 | |
| Not Available |
| Full Name | John David Lane |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 500 W Brown Deer Rd, Bayside, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962486498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 37503 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John David Lane, MD 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 Ph: () - | John David Lane, MD 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 Ph: (414) 434-0461 |
Mitchel M. S. Kim, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217 Phone: 414-434-0461 | |
Robert Wittchow, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217 Phone: 414-434-0461 | |
Apichai Jarenwattananon, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217 Phone: 414-434-0461 | |
Patrick Mcwey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217 Phone: 414-434-0461 |