MEDICARE: DR. VIRGINIA A KAPERICK M.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	208000000X	Pediatrics Physician	59016	WI
2	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	59016	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457345258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRGINIA A KAPERICK M.D.

Provider Business Mailing Address
First Line	:	9000 W WISCONSIN AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-4874
Country	:	US
Telephone Number	:	414-266-3464
Fax Number	:	414-266-3466

Provider Business Practice Location Address
First Line	:	9000 W WISCONSIN AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-4874
Country	:	US
Telephone Number	:	414-266-3464
Fax Number	:	414-266-3466

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

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	05/18/2023

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Directions to “ DR. VIRGINIA A KAPERICK M.D.” Practice Location

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