DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WISCONSIN VASCULAR ACCESS AND NEPHROLOGY

MEDICARE: WISCONSIN VASCULAR ACCESS AND NEPHROLOGY
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
1207RN0300XNephrology Physician38379-020WI

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 : 1841426798
Entity Type Code : Organization
Provider Name (Legal Business Name) : WISCONSIN VASCULAR ACCESS AND NEPHROLOGY
Provider Business Mailing Address
First Line : PO BOX 932
Second Line :
City : HALES CORNERS
State : WI
Zip : 53130-0932
Country : US
Telephone Number : 414-427-7820
Fax Number : 414-427-7824
Provider Business Practice Location Address
First Line : 1962 N PROSPECT AVE # 310
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-1414
Country : US
Telephone Number : 414-803-2721
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHAEL LEVINE
Credential : MD
Telephone Number : 414-427-7820
Provider Enumeration Date : 06/05/2009
Last Update Date : 08/18/2009

Similar Medicare Providers

1477620516 — JEWISH HOME AND CARE CENTER, INC
Practice Location Address:
1414 N PROSPECT AVE
MILWAUKEE, WI
53202-3018
Practice Phone: 414-276-2627
Practice Fax: 414-431-1940
1174742019 — GABRIELA ZELLER PTA
Practice Location Address:
1414 N PROSPECT AVE
MILWAUKEE, WI
53202-3018
Practice Phone: 262-478-0332
Practice Fax:
1497920227 — REHAB CARE
Practice Location Address:
1414 N PROSPECT AVE
MILWAUKEE, WI
53202-3018
Practice Phone: 414-277-8854
Practice Fax: 414-276-2332
1518195726 — MS. GINA MARIE WILLIAMS COTA
Practice Location Address:
JEWISH HOME AND CARE CENTER:THERAPY DEPARTMENT , 1414 N PROSPECT AVE
MILWAUKEE, WI
53202-3018
Practice Phone: 414-277-8854
Practice Fax: 844-284-6963
1780934992 — KENYA EVERETT COTA
Practice Location Address:
1414 N PROSPECT AVE
MILWAUKEE, WI
53202-3018
Practice Phone: 414-277-8854
Practice Fax: 414-276-2332
1831449776 — CERASELA LAURA CAIA PTA
Practice Location Address:
1414 N PROSPECT AVE
MILWAUKEE, WI
53202-3018
Practice Phone: 414-277-8846
Practice Fax: 414-276-2332

Directions to “WISCONSIN VASCULAR ACCESS AND NEPHROLOGY ” 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.