MEDICARE: JOSEPH C BATTISTA 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
1	208600000X	Surgery Physician	25897	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010021961	OTHER		RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1316908874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH C BATTISTA MD

Provider Business Mailing Address
First Line	:	3070 N 51ST ST
Second Line	:	#207
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1645
Country	:	US
Telephone Number	:	414-871-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3070 N 51ST ST
Second Line	:	#207
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1645
Country	:	US
Telephone Number	:	414-871-9500
Fax Number	:

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

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	03/11/2008

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Directions to “ JOSEPH C BATTISTA MD” Practice Location

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