Mondloch, Victoria J.
Mondloch, Victoria J. is an sole proprietor health care provider with primary practice located at 20800 Swenson Dr Suite 425, Waukesha WI 53186-2058. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mondloch, Victoria J. can be contacted via phone (262) 524-9116.Contact Information
Primary practice address
20800 Swenson Dr Suite 425
Waukesha WI 53186-2058
Phone: (262) 524-9116
Fax: (262) 754-4943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 26004 | Wisconsin |
Profile Details
| NPI number | 1891769865 |
|---|---|
| LBN Legal business name | Mondloch, Victoria J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jan 17th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891769865 | NPPES |
| Wisconsin | MEDICAID | 31399000 |
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