MEDICARE: DR. ARIEL KLEMAN 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	207RX0202X	Medical Oncology Physician	66587	WI
2	207R00000X	Internal Medicine Physician	66587-20	WI
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207RH0003X	Hematology & Oncology Physician	66587	WI

General Provider Information

NPI Number	:	1659758050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIEL KLEMAN M.D.

Provider Business Mailing Address
First Line	:	9200 W WISCONSIN AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-3522
Country	:	US
Telephone Number	:	414-805-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9200 W WISCONSIN AVENUE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-2141
Country	:	US
Telephone Number	:	414-955-8296
Fax Number	:

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

Provider Enumeration Date	:	05/05/2015
Last Update Date	:	01/03/2025

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