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NPI Code Detail

MEDICARE: BRUCE A SEMON MD

MEDICARE:   BRUCE A SEMON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician27318WI
22084P0804XChild & Adolescent Psychiatry Physician27318WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114020773
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE A SEMON MD
Provider Business Mailing Address
First Line : 3900 W BROWN DEER RD STE 200
Second Line :
City : MILWAUKEE
State : WI
Zip : 53209-1220
Country : US
Telephone Number : 414-540-2170
Fax Number : 414-540-2171
Provider Business Practice Location Address
First Line : 3900 W BROWN DEER RD STE 200
Second Line :
City : MILWAUKEE
State : WI
Zip : 53209-1220
Country : US
Telephone Number : 414-540-2170
Fax Number : 414-540-2171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 01/07/2026

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Directions to “ BRUCE A SEMON MD” Practice Location

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