| Mark Roznik, MD | |
|
N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 | |
| (262) 549-3030 | |
| Not Available |
| Full Name | Mark Roznik |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | N14w23900 Stone Ridge Dr, 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 |
|---|---|---|---|
| 1184698482 | NPI | - | NPPES |
| 31393800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29104 (Wisconsin) | Primary |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Roznik, MD N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 Ph: (262) 549-3030 | Mark Roznik, MD N14w23900 Stone Ridge Dr, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1135 Ph: (262) 549-3030 |
Dr. Mark R Carey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 Sentry Dr Ste 140, Waukesha, WI 53186 Phone: 262-524-1024 Fax: 262-524-8767 | |
Dr. John T. Fish Iii, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: N9w29326 Thames Rd, Waukesha, WI 53188 Phone: 262-646-3030 | |
Dr. Ashish Verma, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave, Suite 409, Waukesha, WI 53188 Phone: 262-928-8610 Fax: 262-928-8615 | |
Dr. Richard B Leech, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave, Suite 403, Waukesha, WI 53188 Phone: 262-549-1516 Fax: 262-549-0648 | |
Brian W Lee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: N16w24131 Riverwood Dr, Waukesha, WI 53188 Phone: 262-696-0808 Fax: 262-696-0965 | |
Jonathan Kapke, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: N16w24131 Riverwood Dr, Waukesha, WI 53188 Phone: 262-696-5690 | |
Harry B. Hostetler, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1625 Coldwater Creek Dr, Waukesha, WI 53188 Phone: 262-521-8800 Fax: 262-521-8870 |