| Milwaukee Gi Specialists Sc | |
|
1033 N Mayfair Rd Suite 101 Wauwatosa WI 53226-3442 | |
| (414) 454-0600 | |
| (414) 385-2980 |
| Full Name | Milwaukee Gi Specialists Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1033 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Bob Kwech (ADMINISTRATOR) |
| Authorized Official Contact | 4149086507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milwaukee Gi Specialists Sc 2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689 Ph: (414) 908-6615 | Milwaukee Gi Specialists Sc 1033 N Mayfair Rd Suite 101 Wauwatosa WI 53226-3442 Ph: (414) 454-0600 |
| NPI Number | 1639515000 |
|---|---|
| Provider Enumeration Date | 05/13/2013 |
| Last Update Date | 10/25/2020 |
| Medicare PECOS PAC ID | 8123930542 |
|---|---|
| Medicare Enrollment ID | O20171207001118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639515000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Helen H Lantz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639146301 PECOS PAC ID: 3274564083 Enrollment ID: I20050822000898 |
| Provider Name | Rajesh Santharam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447227129 PECOS PAC ID: 7315968088 Enrollment ID: I20051208000862 |
| Provider Name | Aaron C Baltz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467499277 PECOS PAC ID: 0446263594 Enrollment ID: I20060713000296 |
| Provider Name | James T Kwiatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093804544 PECOS PAC ID: 4981704343 Enrollment ID: I20070713000556 |
| Provider Name | David A Carron |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023085487 PECOS PAC ID: 8729990130 Enrollment ID: I20071018000705 |
| Provider Name | Steven J Lipscomb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578530937 PECOS PAC ID: 4981600699 Enrollment ID: I20071212000706 |
| Provider Name | Erica A Samuel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457552689 PECOS PAC ID: 5294978359 Enrollment ID: I20130821000808 |
| Provider Name | William Blosky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740506195 PECOS PAC ID: 1254574130 Enrollment ID: I20160808002300 |
| Provider Name | Mario Javier Velez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477879765 PECOS PAC ID: 8123321353 Enrollment ID: I20181127000867 |
| Provider Name | Matthew R Mohorek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851755953 PECOS PAC ID: 8022369040 Enrollment ID: I20190516000037 |
| Provider Name | Nathaniel T Jest |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053671982 PECOS PAC ID: 0749424711 Enrollment ID: I20190627001631 |
| Provider Name | Jacob C Laine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679969307 PECOS PAC ID: 9032425541 Enrollment ID: I20210723002487 |
| Provider Name | Adam Francis Van Huis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215399381 PECOS PAC ID: 2668764440 Enrollment ID: I20230804000094 |
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