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General NPI Number Information
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NPI Number | 1174584478
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Entity Type | Organization
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Legal Business Name | MILWAUKEE HAND CENTER S C
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 1535 W MARKET ST
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City | MEQUON
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State | WI
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Zip | 53092-5053
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Country | US
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Telephone | 262-241-9224
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Fax | 262-241-9228
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Provider Business Mailing Address
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Address Line | 1535 W MARKET ST
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City | MEQUON
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State | WI
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Zip | 53092-5053
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Country | US
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Telephone | 262-241-9224
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Fax | 262-241-9228
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREG PETER WATCHMAKER
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Credential | M.D.
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Telephone | 262-241-9224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 3576026
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 298026
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 37648
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License Number State | WI
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