Individual
WARREN K MCIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8789
(414) 672-1353
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
645-25
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174529671
—
WI
01
—
4483517
AETNA
WI
Enumeration date
06/21/2005
Last updated
06/27/2023
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