Michael H Gilman, DO | |
4655 N Port Washington Rd, Suite 100, Glendale, WI 53212-1004 | |
(414) 961-7444 | |
(414) 961-7445 |
Full Name | Michael H Gilman |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 4655 N Port Washington Rd, Glendale, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083623433 | NPI | - | NPPES |
30028900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 22937 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
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Michael H Gilman, DO 4655 N Port Washington Rd, Suite 100, Glendale, WI 53212-1004 Ph: (414) 961-7444 | Michael H Gilman, DO 4655 N Port Washington Rd, Suite 100, Glendale, WI 53212-1004 Ph: (414) 961-7444 |
John Waeltz, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4655 N Port Washington Rd, Suite 100, Glendale, WI 53212 Phone: 414-961-7444 Fax: 414-961-7445 | |
Dr. Gary Paul Fait, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7040 N. Port Washington Rd, Suite 400, Glendale, WI 53217 Phone: 414-228-8888 Fax: 414-228-8390 |