| Ikar J. Kalogjera, M.d., S.c. | |
|
1220 Dewey Ave Wauwatosa WI 53213-2504 | |
| (414) 454-6630 | |
| (414) 454-6737 |
| Full Name | Ikar J. Kalogjera, M.d., S.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1220 Dewey Ave, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Ikar J Kalogjera (PRESIDENT) |
| Authorized Official Contact | 4144546630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikar J. Kalogjera, M.d., S.c. 1220 Dewey Ave Wauwatosa WI 53213-2504 Ph: (414) 454-6630 | Ikar J. Kalogjera, M.d., S.c. 1220 Dewey Ave Wauwatosa WI 53213-2504 Ph: (414) 454-6630 |
| NPI Number | 1134431430 |
|---|---|
| Provider Enumeration Date | 07/02/2010 |
| Last Update Date | 07/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134431430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 18456-20 (Wisconsin) | Primary |
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