Individual
JOHN BIRCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, ELECTROPHYSIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6000
(414) 805-6280
Mailing address
9200 W WISCONSIN AVE, ELECTROPHYSIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6000
(414) 805-6280
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
82485
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942610233
—
WI
Enumeration date
05/07/2014
Last updated
11/07/2023
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