Shuaib Raza, | |
3400 Union Ave, Sheboygan, WI 53081-8426 | |
(920) 802-2100 | |
Not Available |
Full Name | Shuaib Raza |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3400 Union Ave, Sheboygan, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952898355 | NPI | - | NPPES |
100209204 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 22838 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Shuaib Raza, 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (920) 802-2100 | Shuaib Raza, 3400 Union Ave, Sheboygan, WI 53081-8426 Ph: (920) 802-2100 |
Beth Kreutzer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Tyler Beranek, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 902-802-8426 | |
Charles R Strancke Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5553 Fax: 920-451-5113 | |
John Longano, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 414-290-6715 | |
David L Paton, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5553 Fax: 920-451-5113 | |
Andrew M Thorson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Erin Mcglynn, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 |