Organization
EMERGENCY ROOM SPECIALISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FREEDY (VICE PRESIDENT - OPERATIONS)
(262) 754-1421
Entity
Organization
Contact information
Practice address
19035 W CAPITOL DR, SUITE 101, BROOKFIELD, WI 53045-2706
(262) 754-1421
(262) 754-3760
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21271400
—
WI
Enumeration date
11/17/2005
Last updated
08/22/2020
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