MILWAUKEE EAR NOSE THROAT CLINIC LIMITED NPI 1457497091

NPI Information

NPI: 1457497091
Provider Name: MILWAUKEE EAR NOSE THROAT CLINIC LIMITED
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
10945 N PORT WASHINGTON RD STE 211
MEQUON, WI
ZIP 53092
Phone: (262) 241-8000
Get Directions

MILWAUKEE EAR NOSE THROAT CLINIC LIMITED is a facial plastic surgery otolaryngology in Mequon, WI. The provider is an otolaryngologist who specializes in facial plastic surgery. MILWAUKEE EAR NOSE THROAT CLINIC LIMITED NPI is 1457497091. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10945 N PORT WASHINGTON RD STE 211
MEQUON, WI
ZIP 53092-078
Phone: (262) 241-8000
Fax: (262) 241-8096

The provider's authorized official is Robert Joseph Gogan .
The authorized official title is Ceo and has the following contact phone number (262) 241-8000.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 1/7/2020.

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	Primary
1	207Y00000X	Otolaryngology		No
2	207YS0123X	Otolaryngology	Facial Plastic Surgery	Yes
3	231H00000X	Audiologist		No

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	30326800	MEDICAID	WISCONSIN
2	C01734	OTHER	WISCONSIN	RRB

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: 5/5/2024

NPI Synchronization or Removal

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