Organization
ANITA I. INVEISS, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA ILZE INVEISS M.D. (PRESIDENT)
(262) 654-0765
Entity
Organization
Contact information
Practice address
3618 8TH AVE, SUITE 12, KENOSHA, WI 53140-2576
(262) 654-0260
(262) 654-8577
Mailing address
3618 8TH AVE, SUITE 12, KENOSHA, WI 53140-2576
(262) 654-0260
(262) 654-8577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25956
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31740600
—
WI
Enumeration date
01/05/2007
Last updated
08/22/2020
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