Individual provider · Type 1 NPI
Saint Victor One, MD
General Practice Physician · Milwaukee, WI
NPI number
1396032405
Active
Practice location
9008 W Burleigh St
Milwaukee, WI 53222-3632
Mailing address
1345 N Jefferson St # 134
Milwaukee, WI 53202-2644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 59931-20 (WI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1396032405
Saint Victor One, MD's National Provider Identifier is 1396032405, issued on Jul 9, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Milwaukee, WI. The record was last updated on Feb 24, 2020.