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NPI Code Detail

MEDICARE: MEDICAL ART RESOURCES, INC

MEDICARE: MEDICAL ART RESOURCES, INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier
2229N00000XAnaplastologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871588269
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL ART RESOURCES, INC
Provider Business Mailing Address
First Line : 3400 S 103RD ST
Second Line : SUITE 200
City : MILWAUKEE
State : WI
Zip : 53227-4159
Country : US
Telephone Number : 414-543-1002
Fax Number : 414-543-0137
Provider Business Practice Location Address
First Line : 3400 S 103RD ST
Second Line : SUITE 200
City : MILWAUKEE
State : WI
Zip : 53227-4159
Country : US
Telephone Number : 414-543-1002
Fax Number : 414-543-0137
Authorized Official
Title or Position : PRESIDENT
Name : MICHAELA ERIN CALHOUN
Credential : CCA
Telephone Number : 612-245-7757
Provider Enumeration Date : 09/13/2005
Last Update Date : 10/07/2022

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Directions to “MEDICAL ART RESOURCES, INC ” Practice Location

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