Andrew P Swietlik, MD | |
2323 S 102nd St, West Allis, WI 53227-2103 | |
(414) 541-9900 | |
Not Available |
Full Name | Andrew P Swietlik |
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Gender | Male |
Speciality | Pediatrics |
Location | 2323 S 102nd St, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700992666 | NPI | - | NPPES |
32432000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 38542 (Wisconsin) | Primary |
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Mailing Address | Practice Location Address |
---|---|
Andrew P Swietlik, MD 4425 N Port Washington Rd, Attn: Clinic Credentialing, Glendale, WI 53212-1082 Ph: (414) 541-9900 | Andrew P Swietlik, MD 2323 S 102nd St, West Allis, WI 53227-2103 Ph: (414) 541-9900 |
Dr. Lisa M Stukenberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 S 108th St, West Allis, WI 53214 Phone: 414-566-6400 Fax: 414-566-3866 | |
Stephanie J Slock, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8905 W Lincoln Ave Ste 409, West Allis, WI 53227 Phone: 414-328-8770 | |
Elizabeth W Ciurlik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Feridoun Beroukhim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2424 S 90th St, Ste 504, West Allis, WI 53227 Phone: 414-328-8670 | |
Michael A Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 S 70th St, West Allis, WI 53214 Phone: 414-773-6600 Fax: 414-773-6656 |