Karen M Wegner, MD | |
3040 N 117th St, Wauwatosa, WI 53222-4107 | |
(414) 479-9990 | |
(414) 479-0230 |
Full Name | Karen M Wegner |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3040 N 117th St, 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 |
---|---|---|---|
1063419760 | NPI | - | NPPES |
32336500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 37078 (Wisconsin) | Primary |
Entity Name | Children's Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790732410 PECOS PAC ID: 4981509742 Enrollment ID: O20031204000573 |
Mailing Address | Practice Location Address |
---|---|
Karen M Wegner, MD 3040 N 117th St, Wauwatosa, WI 53222-4107 Ph: (414) 479-9990 | Karen M Wegner, MD 3040 N 117th St, Wauwatosa, WI 53222-4107 Ph: (414) 479-9990 |
Glena O Davies, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3289 N Mayfair Road, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Dr. Sheryl L Moss, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10625 W North Ave, Suite 222, Wauwatosa, WI 53226 Phone: 414-453-7173 Fax: 414-453-4653 | |
Dr. Tim Daniel Marsho, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8651 W North Ave, Wauwatosa, WI 53226 Phone: 414-774-9200 Fax: 414-774-9031 | |
Katrina Ubell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8651 W North Ave, Wauwatosa, WI 53226 Phone: 414-774-9200 Fax: 414-774-9031 | |
Mrs. Ruth Heimlew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10705 W. Wisconsin Ave., Wauwatosa, WI 53226 Phone: 414-476-6337 | |
Nikola Dukic, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3040 N 117th St Ste 100, Wauwatosa, WI 53222 Phone: 414-479-9990 Fax: 414-479-0230 |