Organization
MILWAUKEE DIGESTIVE DISEASE CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ALBERT HIETPAS (ADMINISTRATOR)
(414) 649-3418
Entity
Organization
Contact information
Practice address
2901 W. KK RIVER PKWY., SUITE 414, MILWAUKEE, WI 53215-3660
(414) 649-3750
(414) 649-3411
Mailing address
2901 W. KK RIVER PKWY., SUITE 414, MILWAUKEE, WI 53215-3660
(414) 649-3750
(414) 649-3411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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