Bluestone Physician Services Wisconsin Sc | |
342 N Water St Ste 600 Milwaukee WI 53202-5715 | |
(651) 342-1039 | |
(651) 342-1428 |
Full Name | Bluestone Physician Services Wisconsin Sc |
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Speciality | Family Medicine |
Location | 342 N Water St Ste 600, Milwaukee, Wisconsin |
Authorized Official Name and Position | Todd Stivland (OWNER) |
Authorized Official Contact | 6513421039 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bluestone Physician Services Wisconsin Sc 342 N Water St Ste 600 Milwaukee WI 53202-5715 Ph: (651) 342-1039 | Bluestone Physician Services Wisconsin Sc 342 N Water St Ste 600 Milwaukee WI 53202-5715 Ph: (651) 342-1039 |
NPI Number | 1922497908 |
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Provider Enumeration Date | 01/14/2015 |
Last Update Date | 02/02/2024 |
Medicare PECOS PAC ID | 7719296789 |
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Medicare Enrollment ID | O20151014003197 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922497908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | John T Murphy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235115791 PECOS PAC ID: 7012813462 Enrollment ID: I20050404001060 |
Provider Name | Kristen M Kajewski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114917622 PECOS PAC ID: 3870511256 Enrollment ID: I20051103000894 |
Provider Name | Todd A Stivland |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962434357 PECOS PAC ID: 2668428525 Enrollment ID: I20061109000014 |
Provider Name | Anne E Lawall Shane |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558594184 PECOS PAC ID: 6709924624 Enrollment ID: I20091113000467 |
Provider Name | Mary E Horner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962717371 PECOS PAC ID: 8325236284 Enrollment ID: I20101220001024 |
Provider Name | Stephanie L Tavs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902247281 PECOS PAC ID: 5890929939 Enrollment ID: I20131003000613 |
Provider Name | Laura M Tidwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669757258 PECOS PAC ID: 9537383930 Enrollment ID: I20140604001440 |
Provider Name | Andrea R Enters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336540418 PECOS PAC ID: 1355562729 Enrollment ID: I20141028002314 |
Provider Name | Carrie Fitzsimmons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033523584 PECOS PAC ID: 1557587490 Enrollment ID: I20150902000235 |
Provider Name | Matthew Logan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033213228 PECOS PAC ID: 5890792022 Enrollment ID: I20170112000047 |
Provider Name | Lia Y Herman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255870283 PECOS PAC ID: 7113201252 Enrollment ID: I20170309000036 |
Provider Name | Josephine Ogara |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124197140 PECOS PAC ID: 8224132246 Enrollment ID: I20180219002020 |
Provider Name | Joshua Arehart |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043674476 PECOS PAC ID: 0143584516 Enrollment ID: I20181017000409 |
Provider Name | April Dawn Abrahamson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679532246 PECOS PAC ID: 1759315534 Enrollment ID: I20181114002476 |
Provider Name | Alison C Topczewski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720551062 PECOS PAC ID: 1759629900 Enrollment ID: I20190213001011 |
Provider Name | Emily N Moon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891349858 PECOS PAC ID: 2961739479 Enrollment ID: I20190806004209 |
Provider Name | Jacqueline L Karlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518519982 PECOS PAC ID: 1153737697 Enrollment ID: I20210309001213 |
Provider Name | Randi L Wagner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205410040 PECOS PAC ID: 1759780877 Enrollment ID: I20210521002076 |
Provider Name | Aimee Schmitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598132896 PECOS PAC ID: 4183930324 Enrollment ID: I20210615000503 |
Provider Name | Kelly Sarosiek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659944940 PECOS PAC ID: 4880098318 Enrollment ID: I20210805002901 |
Provider Name | Gretchen Louise Grencer-liegel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467922948 PECOS PAC ID: 3971991357 Enrollment ID: I20211104001289 |
Provider Name | Chelsey A Mageski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023613320 PECOS PAC ID: 3971993221 Enrollment ID: I20211201001095 |
Provider Name | Jolene C Wittmann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356083810 PECOS PAC ID: 6103203088 Enrollment ID: I20220514000170 |
Provider Name | Shanna L Burns |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912426958 PECOS PAC ID: 8820461155 Enrollment ID: I20230307001065 |
Provider Name | Elizabeth Aspen Hathaway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477332153 PECOS PAC ID: 5890140982 Enrollment ID: I20231010001111 |
Provider Name | Cassandra Margaret Housh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831822832 PECOS PAC ID: 3072969245 Enrollment ID: I20231024002064 |
Provider Name | Todd H Holm |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811971179 PECOS PAC ID: 7517000342 Enrollment ID: I20240123001901 |
Provider Name | Jordan Madden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699323733 PECOS PAC ID: 1951787514 Enrollment ID: I20240126000337 |
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