Robert Swoboda, MD | |
2875 S 171st St, New Berlin, WI 53151-3511 | |
(262) 786-3107 | |
(262) 780-0442 |
Full Name | Robert Swoboda |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2875 S 171st St, New Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699799304 | NPI | - | NPPES |
30620500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 25870 (Wisconsin) | Primary |
Entity Name | Amg Illinois Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972741759 PECOS PAC ID: 8527117027 Enrollment ID: O20100129000033 |
Mailing Address | Practice Location Address |
---|---|
Robert Swoboda, MD 2875 S 171st St, New Berlin, WI 53151-3511 Ph: (262) 786-3107 | Robert Swoboda, MD 2875 S 171st St, New Berlin, WI 53151-3511 Ph: (262) 786-3107 |
Peter Drescher, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 | |
Nancy Blankenship, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 | |
Thomas Calvy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 | |
Keith Bernard, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 | |
Jeffery Scherer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 | |
Roger Axtell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 | |
Matthew Brewer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 |