Greater Milwaukee Plastic Surgeons Sc

LBN: Greater Milwaukee Plastic Surgeons Sc
Greater Milwaukee Plastic Surgeons Sc is an health care organization with primary practice located at 13800 W North Avenue Suite 110, Brookfield WI 53005. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Greater Milwaukee Plastic Surgeons Sc can be contacted via phone (262) 717-4000, or through Menzel, Tim Mark via phone (262) 717-4030.

Contact Information

Primary practice address
13800 W North Avenue Suite 110 Brookfield WI 53005
Fax: (262) 641-7435
Website:
Authorized official contact:
Name: Menzel, Tim Mark MBA

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1154389484
LBN Legal business name Greater Milwaukee Plastic Surgeons Sc
DBA Doing business as
Authorized official Menzel, Tim Mark MBA
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated May 9th, 2008 - about 16 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 1154389484 NPPES
Wisconsin MEDICAID 32836200

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