MEDICARE: DR. TATIANA PETRIKOVA 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	207Q00000X	Family Medicine Physician	64190-20	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	:	1528313061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TATIANA PETRIKOVA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 735044
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-5044
Country	:	US
Telephone Number	:	800-326-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	163 N MILWAUKEE ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-6012
Country	:	US
Telephone Number	:	414-227-1127
Fax Number	:

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

Provider Enumeration Date	:	07/20/2012
Last Update Date	:	08/29/2024

Similar Medicare Providers

1639259005 — DAVID MORTON ROSENBERG DO
Practice Location Address:

163 N MILWAUKEE ST
MILWAUKEE, WI
53202-6012

Practice Phone: 414-227-1127
Practice Fax:

1407350556 — DR. STEVEN F WIPIJEWSKI DO
Practice Location Address:

163 N MILWAUKEE ST
MILWAUKEE, WI
53202-6012

Practice Phone: 414-227-1127
Practice Fax:

1285588236 — LAUREN STAFFORD FNP-BC
Practice Location Address:

163 N MILWAUKEE ST
MILWAUKEE, WI
53202-6012

Practice Phone: 414-227-1127
Practice Fax:

1164807889 — MYIA MITCHELL
Practice Location Address:

6012 W. NORTH AVENUE
MILWAUKEE, WI
53213

Practice Phone: 414-807-9555
Practice Fax:

1477490738 — KRISTEN L WILLIAMS APSW
Practice Location Address:

1136B E KANE PL
MILWAUKEE, WI
53202-1629

Practice Phone: 414-286-5141
Practice Fax:

1770096919 — REBECCA S ESSER NP
Practice Location Address:

342 N WATER ST STE 600
MILWAUKEE, WI
53202-5715

Practice Phone: 651-342-1039
Practice Fax: 651-342-1428

Directions to “ DR. TATIANA PETRIKOVA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.