| Kevin Glatt, MD | |
|
9000 W Sura Ln, Greenfield, WI 53228-3477 | |
| (414) 246-6800 | |
| Not Available |
| Full Name | Kevin Glatt |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 9000 W Sura Ln, Greenfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194179093 | NPI | - | NPPES |
| 100101138 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 72751 (Wisconsin) | Primary |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Glatt, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2233 | Kevin Glatt, MD 9000 W Sura Ln, Greenfield, WI 53228-3477 Ph: (414) 246-6800 |
Lauren Heaberlin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Jacquelyn C Kuzminski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800 | |
Dr. Neelofar Nabi, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Robert E. Brueggeman, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4848 S 76th St, Suite 210, Greenfield, WI 53220 Phone: 414-282-7444 Fax: 414-282-8221 | |
Dr. Anoop Mohamed Iqbal, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800 | |
Zahra Nouri, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6400 |