Healthcare Provider Details

I. General information

NPI: 1922046325
Provider Name (Legal Business Name): JOHN P MAY AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VA MEDICAL CENTER 5000 W. NATIONAL AVENUE
MILWAUKEE WI
53295-0001
US

IV. Provider business mailing address

5295 S MOORLAND RD
NEW BERLIN WI
53151-7923
US

V. Phone/Fax

Practice location:
  • Phone: 414-384-2000
  • Fax:
Mailing address:
  • Phone: 414-422-1556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number167-156
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: