Ptacin, Michael J

Ptacin, Michael J is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Division Of Cardiovascular Medicine, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ptacin, Michael J can be contacted via phone (414) 805-6633.

Contact Information

Primary practice address
9200 W Wisconsin Ave Division Of Cardiovascular Medicine Milwaukee WI 53226-3522
Phone: (414) 805-6633
Fax: (414) 805-6280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20241 Wisconsin

Profile Details

NPI number 1407808108
LBN Legal business name Ptacin, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Aug 16th, 2012 - about 14 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 1407808108 NPPES
Wisconsin MEDICAID 30338100
Wisconsin Other 002000130I
Wisconsin MEDICAID 1407808108

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