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Organization

GASTROENTEROLOGY SPECIALISTS SC

Active
Other names
Gastroenterology Specialists SC
Organization subpart
No

Provider details

NPI number
Authorized official
AMY JO BURNS (DIRECTOR REVENUE MANAGEMENT CYCLE)
(262) 970-7825
Entity
Organization

Contact information

Practice address
1111 DELAFIELD ST STE 321, WAUKESHA, WI 53188-3407
(414) 454-0600
(414) 454-0971
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI 53215-3689
(414) 908-6506
(414) 908-6510

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32879000
WI
Enumeration date
10/19/2006
Last updated
01/26/2026
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