Healthcare Provider Details

I. General information

NPI: 1538325071
Provider Name (Legal Business Name): JULIA FISCHER ROMEISER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA FERN FISCHER M.D.

II. Dates (important events)

Enumeration Date: 08/04/2008
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4855 S MOORLAND RD FL 3
NEW BERLIN WI
53151-7494
US

IV. Provider business mailing address

9000 W WISCONSIN AVE # MS 958
MILWAUKEE WI
53226-4874
US

V. Phone/Fax

Practice location:
  • Phone: 262-432-7599
  • Fax: 262-432-7694
Mailing address:
  • Phone: 414-266-7615
  • Fax: 414-266-6238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036-127561
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125054388
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number72398-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: