MEDICARE: HEALTH ASSET MANAGEMENT, MD S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	261QH0100X	Health Service Clinic/Center
3	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1215543954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH ASSET MANAGEMENT, MD S.C.

Provider Business Mailing Address
First Line	:	1345 N JEFFERSON ST UNIT 134
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-2644
Country	:	US
Telephone Number	:	262-724-6867
Fax Number	:

Provider Business Practice Location Address
First Line	:	9008 W BURLEIGH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-3632
Country	:	US
Telephone Number	:	262-724-6867
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	DR. SAINT VICTOR ONE
Credential	:	MD
Telephone Number	:	262-724-6867

Provider Enumeration Date	:	09/18/2020
Last Update Date	:	09/19/2020

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