Doctors Express Waukesha

LBN: Badger Medical Group S.C.
Doctors Express Waukesha is an health care organization with primary practice located at 1700 Coral Dr , Waukesha WI 53186-1483. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Badger Medical Group S.C. can be contacted via phone (262) 232-6200, or through Holzmacher, Ryan D via phone (414) 202-1724.

Contact Information

Primary practice address
1700 Coral Dr Waukesha WI 53186-1483
Phone: (262) 232-6200
Fax: (262) 232-6201
Website:
Map and Directions
Authorized official contact:
Name: Holzmacher, Ryan D Doctor of Medicine (MD)
Phone: (414) 202-1724

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 42642-020 Wisconsin

Profile Details

NPI number 1902215189
LBN Legal business name Badger Medical Group S.C.
DBA Doing business as Doctors Express Waukesha
Authorized official Holzmacher, Ryan D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2014
Last updated Sep 2nd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902215189 NPPES
Wisconsin MEDICAID 34749000

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