Organization
MILESTONE PEDIATRICS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M LAUTZ MD (OWNER / PRESIDENT)
(414) 241-5730
Entity
Organization
Contact information
Practice address
20611 WATERTOWN RD STE D&E, WAUKESHA, WI 53186-1871
(262) 256-0676
Mailing address
20611 WATERTOWN RD STE D & E, WAUKESHA, WI 53186-1871
(622) 256-0676
(262) 205-4210
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437125424
NPI
WI
Enumeration date
03/25/2022
Last updated
08/25/2022
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