Organization
GREATER MILWAUKEE MEDICAL SERVICES
Active
Other names
M.R. Sethi, MD SC
Organization subpart
No
Provider details
NPI number
Authorized official
CJ RAYCHEL (COMPLIANCE OFFICER)
(414) 444-6000
Entity
Organization
Contact information
Practice address
7620 W BURLEIGH ST, MILWAUKEE, WI 53222-5002
(414) 444-6000
(888) 664-5360
Mailing address
PO BOX 11943, SHOREWOOD, WI 53211-0943
(414) 444-6000
(888) 664-5360
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-03601
UNITED HEALTHCARE
WI
01
—
109500484
WPS
WI
01
—
184893491542
HUMANA
WI
05
—
21309300
—
WI
01
—
4064161
AETNA
WI
Enumeration date
07/06/2006
Last updated
02/10/2014
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