Individual
DR. ALBERTO A MAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
W180N8045 TOWN HALL RD, DEPARTMENT OF ANESTHESIOLOGY, MENOMONEE FALLS, WI 53051-3518
(262) 250-0950
(262) 250-0955
Mailing address
W180N8045 TOWN HALL RD, DEPARTMENT OF ANESTHESIOLOGY, MENOMONEE FALLS, WI 53051-3518
(262) 250-0950
(262) 250-0955
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40469-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518941947
—
WI
05
—
33332200
—
WI
01
—
P00093152
RAIL ROAD MEDICARE
—
Enumeration date
11/30/2005
Last updated
02/20/2017
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