Dr Jeanne E Hryciuk, MD | |
3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | |
(262) 836-7300 | |
(262) 836-7301 |
Full Name | Dr Jeanne E Hryciuk |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 3200 Pleasant Valley Rd, West Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124006846 | NPI | - | NPPES |
32323400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 34521 (Wisconsin) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
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Dr Jeanne E Hryciuk, MD 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 836-7300 | Dr Jeanne E Hryciuk, MD 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 836-7300 |
Dr. John Gilmore Fink, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 551 S Silverbrook Dr, West Bend, WI 53095 Phone: 262-334-8287 Fax: 262-334-8497 | |
Christine Ann Wynveen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Joseph P. Gormley, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7301 Fax: 262-836-7301 | |
Dr. Patrick Michael Gardner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, Department Of Pathology, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-334-8484 |