| Iris Health Clinic | |
|
255 W Broadway Waukesha WI 53186-4832 | |
| (262) 420-9088 | |
| (262) 458-4102 |
| Full Name | Iris Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 255 W Broadway, Waukesha, Wisconsin |
| Authorized Official Name and Position | Peter Brunzelle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2624209088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Health Clinic 255 W Broadway Waukesha WI 53186-4832 Ph: (262) 420-9088 | Iris Health Clinic 255 W Broadway Waukesha WI 53186-4832 Ph: (262) 420-9088 |
| NPI Number | 1942735766 |
|---|---|
| Provider Enumeration Date | 04/30/2017 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Medicare PECOS PAC ID | 8729322680 |
|---|---|
| Medicare Enrollment ID | O20181203003273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942735766 | NPI | - | NPPES |
| Provider Name | Jean A Ibric |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871608356 PECOS PAC ID: 3476568486 Enrollment ID: I20060213000522 |
| Provider Name | Nezih Z Hasanoglu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730166901 PECOS PAC ID: 7719084862 Enrollment ID: I20070524000120 |
| Provider Name | Judith A May |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669425302 PECOS PAC ID: 6305962192 Enrollment ID: I20100929001180 |
| Provider Name | Ryan Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215506100 PECOS PAC ID: 8527433267 Enrollment ID: I20230411000191 |
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