Durst, Milo Gerald
Durst, Milo Gerald is an individual health care provider with primary practice located at 333 E. Washington Street Suite 2000, West Bend WI 53095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Durst, Milo Gerald can be contacted via phone (262) 335-4545.Contact Information
Primary practice address
333 E. Washington Street Suite 2000
West Bend WI 53095
Phone: (262) 335-4545
Fax: (262) 335-6827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 21242-020 | Wisconsin |
Profile Details
| NPI number | 1720187628 |
|---|---|
| LBN Legal business name | Durst, Milo Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720187628 | NPPES |
| Wisconsin | MEDICAID | 30282000 |
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