Individual
JOEL A WALLSKOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 345, MILWAUKEE, WI 53215-3669
(414) 649-7900
(414) 649-7499
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39178
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34156000
—
WI
01
—
P00671036
RR MEDICARE
WI
Enumeration date
08/31/2006
Last updated
12/06/2021
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