Nelson Agustin Rodriguez Unda, MD | |
1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226-3464 | |
(414) 955-1000 | |
(414) 955-0183 |
Full Name | Nelson Agustin Rodriguez Unda |
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Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 1155 N Mayfair Rd Ste T2600, 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 |
---|---|---|---|
1346620010 | NPI | - | NPPES |
1346620010 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 76481 (Wisconsin) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
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Nelson Agustin Rodriguez Unda, MD 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226-3464 Ph: (414) 955-1000 | Nelson Agustin Rodriguez Unda, MD 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226-3464 Ph: (414) 955-1000 |
Kun-tai Hsu, MD Surgery Medicare: Medicare Enrolled Practice Location: 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226 Phone: 414-955-4263 Fax: 414-955-6286 | |
Dr. James Allen Vanheest, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 201 N Mayfair Rd, Suite 535, Wauwatosa, WI 53226 Phone: 414-258-5130 Fax: 414-258-5150 | |
Dr. Jan Riecan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 North Mayfair Road, Suite 410, Wauwatosa, WI 53226 Phone: 414-774-1919 | |
Dr. James Patrick Ketterhagen, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 204 N 86th St, Wauwatosa, WI 53226 Phone: 561-319-2133 Fax: 561-634-2015 | |
Edward B Smith, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Dr. Hanadi Bu-ali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 N Mayfair Rd, 3rd Floor, Wauwatosa, WI 53226 Phone: 414-256-1920 Fax: 414-256-1921 |