Organization
GASTROENTEROLOGY SPECIALISTS SC
Active
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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