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Organization
AMERIPATH MILWAUKEE SC
Active
Organization
AMERIPATH MILWAUKEE SC
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD M KRAMER (VP)
(610) 550-3000
Entity
Organization
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-7181
(414) 476-2975
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32812700
—
WI
05
—
32812800
—
WI
05
—
32868900
—
WI
05
—
32869000
—
WV
05
—
32869100
—
WI
01
—
52D0388186
CLIA
WI
01
—
52D0390458
CLIA
WI
01
—
52D0390963
CLIA
WI
01
—
52D0391842
CLIA
WI
01
—
52D0397949
CLIA
WI
01
—
52D0662006
CLIA
WI
01
—
52D1004935
CLIA
WI
01
—
52D1019615
CLIA
WI
Enumeration date
01/20/2006
Last updated
11/18/2014
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