Healthcare Provider Details

I. General information

NPI: 1942643143
Provider Name (Legal Business Name): EMILIE HELEN REGNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILIE HELEN MIDTLING MD

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

IV. Provider business mailing address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

V. Phone/Fax

Practice location:
  • Phone: 414-805-3310
  • Fax: 414-805-3885
Mailing address:
  • Phone: 414-805-3310
  • Fax: 414-805-3885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number87095-020
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD61321884
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD198507
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD198507
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: