Organization
RHEUMATIC DISEASE CENTER
Active
Organization
RHEUMATIC DISEASE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KUSHI MD (PHYSICIAN)
(414) 351-4009
Entity
Organization
Contact information
Practice address
7080 N PORT WASHINGTON RD, GLENDALE, WI 53217-3879
(414) 351-4009
(414) 351-7060
Mailing address
7080 N PORT WASHINGTON RD, GLENDALE, WI 53217-3879
(414) 351-4009
(414) 351-7060
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137195900
DEPT OF LABOR-OWCP
—
01
—
DA0039
MEDICARE RAILROAD
WI
Enumeration date
06/21/2006
Last updated
10/30/2023
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