Evelyn E Burdick, MD | |
1901 E Capitol Dr, Shorewood, WI 53211-2335 | |
(414) 962-7477 | |
(414) 962-2420 |
Full Name | Evelyn E Burdick |
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Gender | Female |
Speciality | Family Medicine |
Location | 1901 E Capitol Dr, Shorewood, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942243464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 26930 (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 |
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Evelyn E Burdick, MD 4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing, Glendale, WI 53212-1082 Ph: (414) 962-7477 | Evelyn E Burdick, MD 1901 E Capitol Dr, Shorewood, WI 53211-2335 Ph: (414) 962-7477 |
Dr. Marvin Wiener, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2021 E Wood Pl, Shorewood, WI 53211 Phone: 414-962-7922 | |
John J Miller, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1901 E Capitol Dr, Shorewood, WI 53211 Phone: 414-962-7477 Fax: 414-962-2420 | |
Dr. Chelsea Loran Holtz, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4027 N Oakland Ave, Shorewood, WI 53211 Phone: 414-962-7477 | |
Pamela Ogor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3970 N Oakland Ave, 2nd Floor, Shorewood, WI 53211 Phone: 414-527-5690 Fax: 414-527-5695 | |
Kim A Merriman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4027 N Oakland Ave, Shorewood, WI 53211 Phone: 414-962-7477 |