MEDICARE: MICHAEL T BATIR PHARM.D.

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	183500000X	Pharmacist	16462-40	WI
2	183500000X	Pharmacist	051295130	IL

General Provider Information

NPI Number	:	1245669480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL T BATIR PHARM.D.

Provider Business Mailing Address
First Line	:	1941 N CAMBRIDGE AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-1634
Country	:	US
Telephone Number	:	815-212-1283
Fax Number	:

Provider Business Practice Location Address
First Line	:	1941 N CAMBRIDGE AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-1634
Country	:	US
Telephone Number	:	815-212-1283
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2013
Last Update Date	:	11/07/2013

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