Organization
MARVIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN EDWARD SATTLER M.D (GENERAL SURGEON)
(414) 272-4629
Entity
Organization
Contact information
Practice address
1218 W KILBOURN AVE, SUITE-401, MILWAUKEE, WI 53233-1330
(414) 272-4629
(414) 272-4630
Mailing address
1218 W KILBOURN AVE, SUITE-401, MILWAUKEE, WI 53233-1330
(414) 272-4629
(414) 272-4630
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30880400
—
WI
01
—
391142042004
BLUE CROSS/ BLUE SHIELD UNITED OF WISCONSIN
WI
Enumeration date
07/21/2009
Last updated
07/21/2009
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