Individual
THOMAS C. CHELIMSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35-059628
OH
2084N0400X
Neurology Physician
Primary
56546
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221114
UNISON
OH
01
—
000000510663
ANTHEM
OH
01
—
0646970
AETNA
OH
05
—
0777888
—
OH
05
—
1008507150001
—
PA
05
—
1275550790
—
WI
01
—
130009063
MCR RR
—
01
—
363416
WELLCARE MEDICAID
OH
01
—
741859
BUCKEYE MEDICAID
OH
01
—
P00420562
MEDICARE RAILROAD
OH
Enumeration date
07/17/2006
Last updated
11/15/2012
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