Drs Wagner Goodman Pasch And Packman Ltd

LBN: Drs Wagner Goodman Pasch And Packman Ltd
Drs Wagner Goodman Pasch And Packman Ltd is an health care organization with primary practice located at 5150 N Port Washington Rd Suite 151, Milwaukee WI 53217-5474. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Drs Wagner Goodman Pasch And Packman Ltd can be contacted via phone (414) 332-1000, or through Goodman, Joseph Jay via phone (414) 332-1000.

Contact Information

Primary practice address
5150 N Port Washington Rd Suite 151 Milwaukee WI 53217-5474
Phone: (414) 332-1000
Fax: (414) 332-1005
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Joseph Jay Doctor of Medicine (MD)
Phone: (414) 332-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Wisconsin
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X Wisconsin

Profile Details

NPI number 1780684647
LBN Legal business name Drs Wagner Goodman Pasch And Packman Ltd
DBA Doing business as
Authorized official Goodman, Joseph Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780684647 NPPES
Wisconsin MEDICAID 32705400

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