MEDICARE: NEIL E. WAHLBERG M.D.

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
1	207R00000X	Internal Medicine Physician	23290	WI

Other Identifiers

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

General Provider Information

NPI Number	:	1982651154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL E. WAHLBERG M.D.

Provider Business Mailing Address
First Line	:	2015 E NEWPORT AVE
Second Line	:	SUITE 118
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-2984
Country	:	US
Telephone Number	:	414-961-8886
Fax Number	:	414-964-1223

Provider Business Practice Location Address
First Line	:	2015 E NEWPORT AVE
Second Line	:	SUITE 118
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-2984
Country	:	US
Telephone Number	:	414-961-8886
Fax Number	:	414-964-1223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	07/11/2007

Similar Medicare Providers

1689885303 — MR. JAMES R. RICE APNP
Practice Location Address:

2015 E NEWPORT AVE , SUITE 409
MILWAUKEE, WI
53211-2984

Practice Phone: 414-259-3900
Practice Fax: 414-963-0000

1366433815 — COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Practice Location Address:

2015 E NEWPORT AVE , STE M121
MILWAUKEE, WI
53211-2984

Practice Phone: 414-961-3464
Practice Fax: 414-961-5378

1275580656 — JOHN A. ROFFERS, M.D., S.C.
Practice Location Address:

2015 E NEWPORT AVE
MILWAUKEE, WI
53211-2984

Practice Phone: 414-961-4161
Practice Fax: 414-967-1778

1407870587 — UNIVERSITY NURSE-MIDWIVES, A MARQUETTE UNIVERSITY NURSING FACULTY PRAC
Practice Location Address:

2015 E NEWPORT AVE , SUITE 309
MILWAUKEE, WI
53211-2984

Practice Phone: 414-961-2222
Practice Fax: 414-961-3661

1013920842 — DR. PEDER NELSON PIERING PHD
Practice Location Address:

2015 E NEWPORT AVE , SUITE 409
MILWAUKEE, WI
53211-2984

Practice Phone: 414-259-3900
Practice Fax: 414-963-0000

1174633119 — BEHAVIORAL SOLUTIONS, INC.
Practice Location Address:

2015 E NEWPORT AVE , SUITE 409
MILWAUKEE, WI
53211-2984

Practice Phone: 414-259-3900
Practice Fax: 414-963-0000

Directions to “ NEIL E. WAHLBERG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.