| Lawrence Dubin, MD | |
|
2000 E Layton Ave, Ste #130, St Francis, WI 53235-6053 | |
| (414) 747-8856 | |
| (414) 747-6676 |
| Full Name | Lawrence Dubin |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2000 E Layton Ave, St Francis, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982789111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 28226 (Wisconsin) | Primary |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Dubin, MD 100 - 15th Ave, Ste 180, South Milwaukee, WI 53172-1160 Ph: (414) 768-5430 | Lawrence Dubin, MD 2000 E Layton Ave, Ste #130, St Francis, WI 53235-6053 Ph: (414) 747-8856 |
Edward St Ville, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 | |
Rick G Thyes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 | |
Dr. Brian E Lundeen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Dr. Ryan Thomas Hilbelink, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Mack Karnes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Dr. Supriya Sharma, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 | |
David H Hinke, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 |