Healthcare Provider Details

I. General information

NPI: 1922148030
Provider Name (Legal Business Name): HAND DOCTORS OF MILWAUKEE, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 N PORT WASHINGTON RD
MEQUON WI
53092-3339
US

IV. Provider business mailing address

12300 N PORT WASHINGTON RD
MEQUON WI
53092-3339
US

V. Phone/Fax

Practice location:
  • Phone: 262-243-5400
  • Fax: 262-243-6005
Mailing address:
  • Phone: 262-243-5400
  • Fax: 262-243-6005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ARNOLD M SIEGERT
Title or Position: BUSINESS MANAGER
Credential:
Phone: 262-243-5400