Milwaukee Psychiatric Physicians Chartered | |
12760 W North Ave Bldg A Brookfield WI 53005-4628 | |
(262) 439-5500 | |
(866) 439-5221 |
Full Name | Milwaukee Psychiatric Physicians Chartered |
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Speciality | Psychiatry & Neurology |
Location | 12760 W North Ave Bldg A, Brookfield, Wisconsin |
Authorized Official Name and Position | Jackie Michels (PRACTICE MANAGER) |
Authorized Official Contact | 2624395500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Milwaukee Psychiatric Physicians Chartered 12760 W North Ave, Bldg A Brookfield WI 53005 Ph: (262) 439-5500 | Milwaukee Psychiatric Physicians Chartered 12760 W North Ave Bldg A Brookfield WI 53005-4628 Ph: (262) 439-5500 |
NPI Number | 1588739155 |
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Provider Enumeration Date | 11/21/2006 |
Last Update Date | 07/21/2022 |
Certification Date | 09/15/2020 |
Medicare PECOS PAC ID | 0840249751 |
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Medicare Enrollment ID | O20070430000558 |
Identifier | Type | State | Issuer |
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1588739155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Randall J Zblewski |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154426617 PECOS PAC ID: 3274427794 Enrollment ID: I20040213000246 |
Provider Name | Marina C Tierney |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1396858825 PECOS PAC ID: 2264413582 Enrollment ID: I20040525000107 |
Provider Name | Brian M Fidlin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083720759 PECOS PAC ID: 7012986508 Enrollment ID: I20040930001034 |
Provider Name | David L Wandschneider |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548377591 PECOS PAC ID: 9537336425 Enrollment ID: I20120119000527 |
Provider Name | Sally R Lohs |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396139671 PECOS PAC ID: 7012291180 Enrollment ID: I20170309001149 |
Provider Name | Makenzie E Hatfield Kresch |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043714009 PECOS PAC ID: 3173957883 Enrollment ID: I20200103001870 |
Provider Name | Patrick J Triggiano |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194880286 PECOS PAC ID: 6608936034 Enrollment ID: I20220111001758 |
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