Organization
LAKESHORE VEINS S. C.
Active
Organization
LAKESHORE VEINS S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE E BARTEL M.D. (AUTHORIZED REPRESENTATIVE)
(262) 787-4050
Entity
Organization
Contact information
Practice address
1361 W TOWNE SQUARE RD, MEQUON, WI 53092-5047
(262) 787-4050
Mailing address
1361 W TOWNE SQUARE RD, MEQUON, WI 53092-5047
(262) 241-3999
(262) 241-8003
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38291
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32614400
—
WI
Enumeration date
11/12/2013
Last updated
04/23/2026
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