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NPI Code Detail

MEDICARE: JAMES ALLEN RYDLEWICZ MD

MEDICARE:   JAMES ALLEN RYDLEWICZ  MD
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
1207X00000XOrthopaedic Surgery Physician17361WI

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 : 1922086032
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ALLEN RYDLEWICZ MD
Provider Business Mailing Address
First Line : 5233 W MORGAN AVE
Second Line : STE 102
City : MILWAUKEE
State : WI
Zip : 53220
Country : US
Telephone Number : 414-321-8960
Fax Number : 414-321-0632
Provider Business Practice Location Address
First Line : 5233 W MORGAN AVE
Second Line : STE 102
City : MILWAUKEE
State : WI
Zip : 53220
Country : US
Telephone Number : 414-321-8960
Fax Number : 414-321-0632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 02/04/2010

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Directions to “ JAMES ALLEN RYDLEWICZ MD” Practice Location

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