Urology Specialists S.C.

LBN: Urology Specialists S.C.
Urology Specialists S.C. is an health care organization with primary practice located at 2350 W Villard Ave Ste 301, Milwaukee WI 53209-5084. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Other Service Providers / Specialist is the primary health care specialty. Urology Specialists S.C. can be contacted via phone (414) 527-3000, or through Wiatrak, Mitchell via phone (414) 527-3000.

Contact Information

Primary practice address
2350 W Villard Ave Ste 301 Milwaukee WI 53209-5084
Phone: (414) 527-3000
Fax: (414) 527-3114
Website:
Map and Directions
Authorized official contact:
Name: Wiatrak, Mitchell Doctor of Medicine (MD)
Phone: (414) 527-3000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 31968 Wisconsin
Other Service Providers / Specialist 174400000X 37739 Wisconsin
Other Service Providers / Specialist 174400000X 45820 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 457-023 Wisconsin

Profile Details

NPI number 1891799755
LBN Legal business name Urology Specialists S.C.
DBA Doing business as
Authorized official Wiatrak, Mitchell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1891799755 NPPES
Wisconsin MEDICAID 3172800
Wisconsin MEDICAID 32233400
Wisconsin MEDICAID 34422300
Wisconsin MEDICAID 42912700

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