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NPI Code Detail

MEDICARE: PATRICK JOSEPH MCGRATH D.O.

MEDICARE: PATRICK JOSEPH MCGRATH D.O.
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
1207Q00000XFamily Medicine Physician24991WI

Other Identifiers

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

General Provider Information

NPI Number : 1598761983
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK JOSEPH MCGRATH D.O.
Provider Business Mailing Address
First Line : 1801 DOLPHIN DR
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-1430
Country : US
Telephone Number : 414-231-4000
Fax Number : 262-446-0388
Provider Business Practice Location Address
First Line : 1825 N PROSPECT AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-1933
Country : US
Telephone Number : 414-274-8407
Fax Number : 414-298-8616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/07/2023

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