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MILESTONE PEDIATRICS SC NPI 1417607136


NPI Information

NPI: 1417607136
Provider Name: MILESTONE PEDIATRICS, SC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
20611 WATERTOWN RD
SUITES D & E
BROOKFIELD, WI
ZIP 53072
Phone: (262) 256-0676
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MILESTONE PEDIATRICS, SC is an adolescent medicine pediatrics in Brookfield, WI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. MILESTONE PEDIATRICS, SC NPI is 1417607136. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20611 WATERTOWN RD
SUITES D & E
BROOKFIELD, WI
ZIP 53072
Phone: (262) 256-0676

The provider's authorized official is Amy M Lautz .
The authorized official title is Owner / President and has the following contact phone number (414) 241-5730.

The enumeration date for this NPI number is 3/25/2022 and was last updated on 3/25/2022.


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
12080A0000XPediatricsAdolescent MedicineYes

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
11437125424OTHERWISCONSINNPI

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.