Justin Sandver, MD | |
1220 Dewey Ave, Wauwatosa, WI 53213 | |
(414) 454-6707 | |
(414) 454-6747 |
Full Name | Justin Sandver |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1220 Dewey Ave, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073925293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 71670 (Wisconsin) | Primary |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Penobscot Bay Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982645305 PECOS PAC ID: 2163320508 Enrollment ID: O20060316000020 |
Mailing Address | Practice Location Address |
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Justin Sandver, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2338 | Justin Sandver, MD 1220 Dewey Ave, Wauwatosa, WI 53213 Ph: (414) 454-6707 |
Bernadette Demuri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd, Suite #305, Wauwatosa, WI 53226 Phone: 414-257-0233 Fax: 414-257-3588 | |
Dr. Upton Thomas, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6754 Fax: 414-454-6789 | |
Dr. Ashok R Bedi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6610 Fax: 414-454-6644 | |
Dr. Abdul Mateen Khazi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6574 | |
Michael Fuller Mcbride, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6610 Fax: 414-454-6644 | |
Dr. Karole Marie Kuslak, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6600 | |
Dr. Niketa Desai, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6777 |