Douglas R Port, DO | |
111 E Wisconsin Ave, Milwaukee, WI 53202-4815 | |
(414) 290-6720 | |
(414) 290-6755 |
Full Name | Douglas R Port |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 111 E Wisconsin Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932121191 | NPI | - | NPPES |
300113936 | Other | WI | MEDICARE RAILROAD |
34004200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 42020-021 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Douglas R Port, DO 111 E Wisconsin Ave, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 | Douglas R Port, DO 111 E Wisconsin Ave, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 |
Dr. Hong Chen, MD Radiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3700 Fax: 414-805-3777 | |
Sujan Fernando, Radiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3750 Fax: 414-259-9290 | |
Dr. Zacharias P Zitterkopf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000 Fax: 414-649-5296 | |
Javier Alberto Lopez Puebla, MD Radiology Medicare: Medicare Enrolled Practice Location: 9200 W. Wisconsin Ave, Hub Radiology 3740-4, Milwaukee, WI 53226 Phone: 414-955-1195 Fax: 414-259-9290 | |
Allan Vannostrand, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 945 N 12th St, Ste E360, Milwaukee, WI 53233 Phone: 414-219-7226 | |
Dr. John T. Grum, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 945 N 12th St, Suite 3858, Milwaukee, WI 53233 Phone: 414-219-2000 | |
Dr. William Dennis Foley, MD Radiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3700 Fax: 414-805-3777 |