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GYNECOLOGY ASSOCIATES OF WISCONSIN NPI 1417419359


NPI Information

NPI: 1417419359
Provider Name: GYNECOLOGY ASSOCIATES OF WISCONSIN
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
10900 W POTTER RD
MILWAUKEE, WI
ZIP 53226
Phone: (414) 213-2102
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GYNECOLOGY ASSOCIATES OF WISCONSIN is an obstetrics gynecology in Milwaukee, WI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GYNECOLOGY ASSOCIATES OF WISCONSIN NPI is 1417419359. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10900 W POTTER RD
MILWAUKEE, WI
ZIP 53226-424
Phone: (414) 213-2102

The provider's authorized official is Stephen Mcavoy .
The authorized official title is President and has the following contact phone number (414) 213-2102.

The enumeration date for this NPI number is 4/1/2019 and was last updated on 4/1/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100049142MEDICAIDWISCONSIN
232134000MEDICAIDWISCONSIN
3100034597MEDICAIDWISCONSIN
434815000MEDICAIDWISCONSIN
5100057159MEDICAIDWISCONSIN
632536900MEDICAIDWISCONSIN

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

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