Organization
CENTER FOR DIGESTIVE HEALTH LTD
Active
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
2801 W KINNICKINNIC RIVER PKWY STE 1060, MILWAUKEE, WI 53215-5211
(414) 908-6500
(414) 908-6634
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI 53215-3689
(414) 908-6615
(414) 385-2980
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1028160001
AMERICHOICE UHC T-19
WI
05
—
41908000
—
WI
01
—
490002600
RAILROAD MEDICARE GROUP N
WI
Enumeration date
03/02/2006
Last updated
01/08/2025
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