Organization
CRAIG A. SIVERHUS, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG A. SIVERHUS M.D. (PRESIDENT)
(414) 961-0531
Entity
Organization
Contact information
Practice address
2015 E NEWPORT AVE, SUITE 305, MILWAUKEE, WI 53211-2984
(414) 961-0531
Mailing address
2015 E NEWPORT AVE, SUITE 305, MILWAUKEE, WI 53211-2984
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30501
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32027700
—
WI
Enumeration date
07/10/2007
Last updated
07/10/2007
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