Suric, Vladimir

Suric, Vladimir is an individual health care provider with primary practice located at 1155 N Mayfair Rd , Milwaukee WI 53226-3462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Suric, Vladimir can be contacted via phone (414) 805-7342.

Contact Information

Primary practice address
1155 N Mayfair Rd Milwaukee WI 53226-3462
Fax: (414) 805-7919
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 80068 Wisconsin
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 80068-20 Wisconsin

Profile Details

NPI number 1275053654
LBN Legal business name Suric, Vladimir
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2017
Last updated Jul 1st, 2022 - about 3 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 1275053654 NPPES
Wisconsin MEDICAID 1275053654

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