Organization
METROPOLITAN ANESTHESIOLOGISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD GRAHAM M.D. (PRESIDENT)
(414) 291-1000
Entity
Organization
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1000
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21302100
—
WI
Enumeration date
07/16/2006
Last updated
05/27/2008
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