Individual
DR. GATIS MAKSTENIEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6633
(414) 328-8172
Mailing address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6633
(414) 328-8172
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
44920-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34419500
—
WI
Enumeration date
12/22/2006
Last updated
07/08/2007
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