Wann, Lee S

Wann, Lee S is an individual health care provider with primary practice located at 601 N 99Th St Ste 201, Wauwatosa WI 53226-4339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wann, Lee S can be contacted via phone (414) 778-7790.

Contact Information

Primary practice address
601 N 99Th St Ste 201 Wauwatosa WI 53226-4339
Phone: (414) 778-7790
Fax: (414) 778-7646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 22145 Wisconsin

Profile Details

NPI number 1316907975
LBN Legal business name Wann, Lee S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Mar 25th, 2013 - about 11 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 1316907975 NPPES
Wisconsin MEDICAID 30263800

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