Organization
MIDWEST AREA PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA EVANS (DIRECTOR PHYSICIAN ACCOUNTS)
(414) 389-2127
Entity
Organization
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-6734
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-6734
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO8953
RAILROAD
WI
Enumeration date
02/25/2009
Last updated
12/20/2010
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