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Individual

DR. ANTE A. DEVCIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215
(414) 649-6000
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30789-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050042149
RAIL ROAD MEDICARE
05
31631800
WI
Enumeration date
11/30/2005
Last updated
11/30/2021
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