COMPREHENSIVE GENETIC SERVICES SC NPI 1508940255

NPI Information

NPI: 1508940255
Provider Name: COMPREHENSIVE GENETIC SERVICES, SC
Classification: Medical Genetics - 207SG0201X
Entity Type: Organization

Specialization: Clinical Genetics (M.D.)

Address:
3720 N 124TH ST
SUITE I
MILWAUKEE, WI
ZIP 53222
Phone: (414) 393-1000
Get Directions

COMPREHENSIVE GENETIC SERVICES, SC is a clinical genetics (m.d.) medical genetics in Milwaukee, WI. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. COMPREHENSIVE GENETIC SERVICES, SC NPI is 1508940255. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3720 N 124TH ST
SUITE I
MILWAUKEE, WI
ZIP 53222-100
Phone: (414) 393-1000
Fax: (414) 393-1399

The provider's authorized official is Christine R Bryke .
The authorized official title is Physician and has the following contact phone number (414) 393-1000.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 12/31/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207SC0300X	Medical Genetics	Clinical Cytogenetics	33237	WISCONSIN	No
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	33237	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32516200	OTHER	WISCONSIN	MANAGED HEALTH
2	120003406	OTHER	WISCONSIN	WEA
3	5241745	OTHER	WISCONSIN	AETNA
4	7400178	OTHER	WISCONSIN	UNITED HEALTH CARE
5	000073776	MEDICARE PIN	WISCONSIN
6	370021631	MEDICARE PIN	WISCONSIN
7	=========A	OTHER	WISCONSIN	HUMANA
8	32516200	MEDICAID	WISCONSIN
9	072446202	OTHER	WISCONSIN	TRICARE
10	=========	OTHER	WISCONSIN	WPS
11	=========002	OTHER	WISCONSIN	CIGNA
12	E59963	MEDICARE UPIN	WISCONSIN
13	2132702001	OTHER	WISCONSIN	AMERICHOICE
14	6344590	OTHER	WISCONSIN	ABRI
15	=========	OTHER	WISCONSIN	HEALTH EOS
16	=========014	OTHER	WISCONSIN	ANTHEM BLUE CROSS COMPCA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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