Organization
RICHARD C. LENNERTZ, JR. M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C LENNERTZ JR. M.D. (PRESIDENT)
(414) 961-3300
Entity
Organization
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 961-3300
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25978-020
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
25978-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30752400
—
WI
Enumeration date
10/09/2006
Last updated
09/11/2025
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