Individual
PETER N DIONISOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 AMERICAN AVE STE 403, WAUKESHA, WI 53188-5071
(262) 549-1516
Mailing address
721 AMERICAN AVE STE 403, WAUKESHA, WI 53188-5071
(262) 549-1516
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20414
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03037221
—
NY
05
—
10026072000
—
NE
05
—
10026072200
—
NE
05
—
10026072300
—
NE
05
—
10026072400
—
NE
05
—
10026072500
—
NE
05
—
10026072600
—
NE
05
—
100411930A
—
KS
05
—
2454884
—
OH
05
—
2525055
—
IA
05
—
47070592300
—
NE
05
—
47070592301
—
NE
05
—
47070592302
—
NE
05
—
47070592305
—
NE
05
—
47070592306
—
NE
05
—
47070592313
—
NE
Enumeration date
10/11/2006
Last updated
01/24/2018
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