Organization
MILWAUKEE NEPHROLOGISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW H HANNA M.D. (PRESIDENT)
(414) 777-5200
Entity
Organization
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 413, MILWAUKEE, WI 53215-3660
(414) 383-7744
(414) 383-8089
Mailing address
2514 S 102ND ST, SUITE 120, WEST ALLIS, WI 53227-2142
(414) 777-5200
(414) 777-5210
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32704000
—
WI
Enumeration date
12/08/2006
Last updated
12/09/2019
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