| Matthew M Richlen, MD | |
|
9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | |
| (414) 527-7500 | |
| (414) 365-6320 |
| Full Name | Matthew M Richlen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 9252 N Green Bay Rd, Brown Deer, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528080900 | NPI | - | NPPES |
| 34671800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 47260-20 (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 |
|---|---|
| Matthew M Richlen, MD 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 Ph: (414) 527-7500 | Matthew M Richlen, MD 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 Ph: (414) 527-7500 |
Robert Michael Kitsis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 Phone: 414-270-8150 Fax: 414-270-8140 | |
Bruce E Rowe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9233 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-270-8150 | |
Dr. Shannon Sarah Muderlak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9252 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-527-7500 Fax: 414-365-6320 | |
Michael P Fetherston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9233 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-270-8150 | |
Jill M Wagner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9252 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-527-7500 Fax: 414-365-6320 | |
Gregory J Matthews, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9233 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-270-8150 |