# GATIS MAKSTENIEKS MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790807220
- **Authorized official:** GATIS MAKSTENIEKS MD (PRESIDENT)
- **Authorized official phone:** (414) 328-6685

## Contact information

- **Practice address:** 8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
- **Practice address phone:** (414) 328-6685
- **Practice address fax:** (414) 328-8172
- **Mailing address:** PO BOX 910, GREENFIELD, MA 01302-0910
- **Mailing address phone:** (413) 772-8500
- **Mailing address fax:** (413) 772-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 05/22/2013