Paul P Hartlaub, MD | |
9252 N Green Bay Road, Brown Deer, WI 53209-1104 | |
(414) 527-7500 | |
(414) 365-6320 |
Full Name | Paul P Hartlaub |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 9252 N Green Bay Road, Brown Deer, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801844253 | NPI | - | NPPES |
31420400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 29447 (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 |
---|---|
Paul P Hartlaub, MD 9252 N Green Bay Road, Brown Deer, WI 53209-1104 Ph: (414) 527-7500 | Paul P Hartlaub, MD 9252 N Green Bay Road, Brown Deer, WI 53209-1104 Ph: (414) 527-7500 |
Sean Patrick Ronayne, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9252 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-527-7500 Fax: 414-365-6320 | |
Robert Michael Kitsis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 Phone: 414-270-8150 Fax: 414-270-8140 | |
Bruce E Rowe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9233 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-270-8150 | |
Dr. Shannon Sarah Muderlak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9252 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-527-7500 Fax: 414-365-6320 | |
Matthew M Richlen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9252 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-527-7500 Fax: 414-365-6320 | |
Michael P Fetherston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9233 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-270-8150 | |
Jill M Wagner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9252 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-527-7500 Fax: 414-365-6320 |