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
Fax: (262) 335-6827
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720187628 NPPES
Wisconsin MEDICAID 30282000

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