MEDICARE: MILWAUKEE HAND CENTER S C

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
1	225XH1200X	Hand Occupational Therapist	3576026	WI
2	225XH1200X	Hand Occupational Therapist	298026	WI
3	2086S0105X	Surgery of the Hand (Surgery) Physician	37648	WI

Other Identifiers

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

General Provider Information

NPI Number	:	1174584478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILWAUKEE HAND CENTER S C

Provider Business Mailing Address
First Line	:	1535 W MARKET ST
Second Line	:
City	:	MEQUON
State	:	WI
Zip	:	53092-5053
Country	:	US
Telephone Number	:	262-241-9224
Fax Number	:	262-241-9228

Provider Business Practice Location Address
First Line	:	1535 W MARKET ST
Second Line	:
City	:	MEQUON
State	:	WI
Zip	:	53092-5053
Country	:	US
Telephone Number	:	262-241-9224
Fax Number	:	262-241-9228

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GREG PETER WATCHMAKER
Credential	:	M.D.
Telephone Number	:	262-241-9224

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	09/12/2023

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Directions to “MILWAUKEE HAND CENTER S C ” Practice Location

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