Organization
MIDWEST NEPHROLOGY ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE HERBST (VP OPERATIONS)
(414) 762-2020
Entity
Organization
Contact information
Practice address
3120 S 27TH ST, MILWAUKEE, WI 53215-4338
(414) 672-8282
(414) 672-8284
Mailing address
335 MAHN CT, OAK CREEK, WI 53154-2155
(414) 762-2020
(414) 762-2024
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32796300
—
WI
Enumeration date
07/08/2006
Last updated
01/03/2025
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