| Charles J. Waisbren Md S.c. | |
|
3077 N Mayfair Rd Suite 100 Wauwatosa WI 53222-4305 | |
| (414) 771-5900 | |
| (414) 771-4908 |
| Full Name | Charles J. Waisbren Md S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3077 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Charles J Waisbren (PHYSICIAN) |
| Authorized Official Contact | 4147715900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J. Waisbren Md S.c. 3077 N Mayfair Rd Suite 100 Wauwatosa WI 53222-4305 Ph: (414) 771-5900 | Charles J. Waisbren Md S.c. 3077 N Mayfair Rd Suite 100 Wauwatosa WI 53222-4305 Ph: (414) 771-5900 |
| NPI Number | 1447302492 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 5496858326 |
|---|---|
| Medicare Enrollment ID | O20070314000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447302492 | NPI | - | NPPES |
| 1750481206 | Other | WI | PERSONAL NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25111 (Wisconsin) | Primary |
| Provider Name | Charles J Waisbren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750481206 PECOS PAC ID: 9133222060 Enrollment ID: I20070314000505 |
Wisconsin Healthcare Family Practices And Behavioral Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222 Phone: 414-219-9420 Fax: 414-909-8674 | |
Carbon Health Primary Care Of Wisconsin Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11415 W Burleigh St Ste 103, Wauwatosa, WI 53222 Phone: 415-446-1733 | |
Southeastern Pediatrics, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10625 W North Ave Ste 326, Wauwatosa, WI 53226 Phone: 414-771-0500 Fax: 414-771-0363 | |
Martin Men's Medical Clinic Of Wisconsin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2949 N Mayfair Rd Ste 300, Wauwatosa, WI 53222 Phone: 414-454-6000 Fax: 414-454-6420 | |
Numale Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226 Phone: 414-727-8380 Fax: 414-727-8555 | |
Family Practice Clinic Of Mayfair Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11803 W North Ave, Wauwatosa, WI 53226 Phone: 414-258-5522 Fax: 414-258-1337 | |
Cmm Sundaram Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd, Suite 670, Wauwatosa, WI 53226 Phone: 414-933-9851 |