Organization
GI SPECIALISTS LLC
Active
Other names
Moreland Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JO BURNS (DIRECTOR REVENUE CYCLE MANAGEMENT)
(262) 970-7825
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, SUITE 322, WAUKESHA, WI 53188-3417
(414) 454-0600
(414) 454-0971
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI 53215-3689
(414) 908-6506
(414) 908-6510
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000085213
MEDICARE PTAN
WI
01
—
P00658029
RAILROAD MEDICARE
WI
Enumeration date
04/03/2007
Last updated
01/08/2025
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