Deshur, William R

Deshur, William R is an sole proprietor health care provider with primary practice located at 2801 W Kk River Pkwy Suite 330, Milwaukee WI 53215-3669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Deshur, William R can be contacted via phone (414) 649-3240.

Contact Information

Primary practice address
2801 W Kk River Pkwy Suite 330 Milwaukee WI 53215-3669
Phone: (414) 649-3240
Fax: (414) 649-3244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23018 Wisconsin

Profile Details

NPI number 1023087103
LBN Legal business name Deshur, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Nov 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023087103 NPPES
Wisconsin MEDICAID 30324600

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