Dr Robert D Wenberg, DO | |
2414 Kohler Memorial Dr, Sheboygan, WI 53081 | |
(920) 457-4461 | |
(920) 459-1408 |
Full Name | Dr Robert D Wenberg |
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Gender | Male |
Speciality | Family Medicine |
Location | 2414 Kohler Memorial Dr, Sheboygan, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841307808 | NPI | - | NPPES |
30060000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33041 (Wisconsin) | Primary |
Entity Name | Lakeshore Community Health Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245520519 PECOS PAC ID: 3173773124 Enrollment ID: O20130605000747 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert D Wenberg, DO 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Robert D Wenberg, DO 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Ph: (920) 457-4461 |
Dr. Thomas Matthew Ambelang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1145 | |
Connor Hayes Harmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Ajhani Kesavan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1411 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-496-4700 Fax: 603-228-7307 | |
Katie Gesch, D.O., M.S. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700 | |
Dr. James R Pawlak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-457-6748 | |
Jayapriya Palaniappan, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Bora You, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1483 |