Dr Kassandra E Holzem, MD | |
9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | |
(414) 805-5320 | |
(414) 805-5323 |
Full Name | Dr Kassandra E Holzem |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568882793 | NPI | - | NPPES |
1568882793 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 6906320 (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 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
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Dr Kassandra E Holzem, MD 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-5320 | Dr Kassandra E Holzem, MD 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-5320 |
Dr. Yvonne E-fen Chiu, MD Dermatology Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Dermatology, Milwaukee, WI 53226 Phone: 414-266-1569 Fax: 414-266-3315 | |
Peggy Tong, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209 Phone: 414-352-3100 Fax: 414-247-4597 | |
April Zhang, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5320 Fax: 414-805-5323 | |
Tracy L Donahue, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2350 N Lake Dr, Suite 300, Milwaukee, WI 53211 Phone: 414-298-7100 Fax: 414-298-7101 | |
Shanthi Narla, Dermatology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Avenue, Dermatology, Milwaukee, WI 53226 Phone: 414-805-5320 Fax: 414-805-5323 | |
Dr. Gaurav Singh, M.D., M.P.H. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd Ste 810, Milwaukee, WI 53226 Phone: 414-771-1122 Fax: 414-771-1352 | |
Namita Jain, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3003 W Good Hope Rd Ste 1-200, Milwaukee, WI 53209 Phone: 414-352-3100 |