Individual
CAITLIN RENAE PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, SURGICAL ONCOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5020
(414) 805-5771
Mailing address
9200 W WISCONSIN AVE, SURGICAL ONCOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5020
(414) 805-5771
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2015-00411
NC
208600000X
Surgery Physician
56353
WI
2086X0206X
Surgical Oncology Physician
Primary
56353
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124342761
—
NC
05
—
NC2412
—
SC
Enumeration date
03/25/2010
Last updated
07/05/2016
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