Organization
UROLOGY SPECIALISTS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL WIATRAK M.D. (SENIOR PARTNER)
(414) 527-3000
Entity
Organization
Contact information
Practice address
2350 W VILLARD AVE, STE 301, MILWAUKEE, WI 53209-5084
(414) 527-3000
(414) 527-3114
Mailing address
2350 W VILLARD AVE, STE 301, MILWAUKEE, WI 53209-5084
(414) 527-3000
(414) 527-3114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
31968
WI
174400000X
Specialist
37739
WI
174400000X
Specialist
45820
WI
363A00000X
Physician Assistant
Primary
457-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3172800
—
WI
05
—
32233400
—
WI
05
—
34422300
—
WI
05
—
42912700
—
WI
Enumeration date
06/09/2005
Last updated
09/11/2025
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