Individual
JUAN C FELIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVENUE, DEPARTMENT OF PATHOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3666
(414) 805-6980
Mailing address
9200 W WISCONSIN AVENUE, DEPARTMENT OF PATHOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3666
(414) 805-6980
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
67502
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G73369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G733690
BLUE SHIELD
CA
05
—
1649286519
—
WI
01
—
1952325565
GROUP NPI
CA
05
—
LAB28654F
—
CA
01
—
P00102816
MEDICARE RAILROAD
CA
Enumeration date
07/31/2006
Last updated
07/21/2022
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