Organization
ASSOCIATED EMERGENCY ROOM PHYSICANS, SC
Active
Organization
ASSOCIATED EMERGENCY ROOM PHYSICANS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL W HAYSSEN (BILLING MANAGER)
(414) 858-2206
Entity
Organization
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6100
(262) 767-6098
Mailing address
9875 S FRANKLIN DR, FRANKLIN, WI 53132-8895
(414) 858-2206
(414) 858-2236
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21293200
—
WI
Enumeration date
04/06/2006
Last updated
08/22/2020
Update your record
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