Healthcare Provider Details

I. General information

NPI: 1861445512
Provider Name (Legal Business Name): WILLIAM RHEAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 W WISCONSIN AVE DIVISION OF GENETICS
MILWAUKEE WI
53226-4874
US

IV. Provider business mailing address

9000 W WISCONSIN AVE
MILWAUKEE WI
53226-4874
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-2979
  • Fax: 414-266-1616
Mailing address:
  • Phone: 414-805-3666
  • Fax: 414-266-1616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License Number42007
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number42007
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: