| Doenier Family Medicine Sc | |
|
1111 Delafield St Ste 300 Waukesha WI 53188-3407 | |
| (262) 446-0955 | |
| (262) 446-0055 |
| Full Name | Doenier Family Medicine Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Delafield St Ste 300, Waukesha, Wisconsin |
| Authorized Official Name and Position | Todd M Doenier (PHYSICIAN) |
| Authorized Official Contact | 2624460955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doenier Family Medicine Sc 1111 Delafield St Ste 300 Waukesha WI 53188-3407 Ph: (262) 446-0955 | Doenier Family Medicine Sc 1111 Delafield St Ste 300 Waukesha WI 53188-3407 Ph: (262) 446-0955 |
| NPI Number | 1508046517 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 11/29/2022 |
| Medicare PECOS PAC ID | 1456677822 |
|---|---|
| Medicare Enrollment ID | O20150302000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508046517 | NPI | - | NPPES |
| 1508046517 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33378 (Wisconsin) | Primary |
| Provider Name | Todd Michael Doenier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265496319 PECOS PAC ID: 6204846462 Enrollment ID: I20060503000155 |
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Paul B Doenier Md, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Delafield St Ste 300, Waukesha, WI 53188 Phone: 262-446-0955 Fax: 262-446-0055 |