Roy A Brandell, MD | |
3300 Westhill Dr, Wausau, WI 54401-4710 | |
(715) 847-2605 | |
(715) 847-2604 |
Full Name | Roy A Brandell |
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Gender | Male |
Speciality | Urology |
Location | 3300 Westhill Dr, Wausau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609816222 | NPI | - | NPPES |
32144300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 36312-020 (Wisconsin) | Primary |
Entity Name | Urology Specialists Of Wisconsin S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831132018 PECOS PAC ID: 2365428950 Enrollment ID: O20040625000044 |
Mailing Address | Practice Location Address |
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Roy A Brandell, MD 3300 Westhill Dr, Wausau, WI 54401-4710 Ph: (715) 847-2605 | Roy A Brandell, MD 3300 Westhill Dr, Wausau, WI 54401-4710 Ph: (715) 847-2605 |
Kenneth Lowell Day, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2603 Teal Ave (residence), Wausau, WI 54401 Phone: 715-842-7019 | |
Laura E Sherrill, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3300 Westhill Dr, Wausau, WI 54401 Phone: 715-847-2605 Fax: 715-847-2604 | |
Benjamin S Battino, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3300 Westhill Dr, Wausau, WI 54401 Phone: 715-847-2605 Fax: 715-847-2604 | |
Carl J Viviano, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3300 Westhill Dr, Wausau, WI 54401 Phone: 715-847-2605 Fax: 715-847-2604 |