Integrated Breast Specialists, S.C.

LBN: Integrated Breast Specialists, S.C.
Integrated Breast Specialists, S.C. is an health care organization with primary practice located at 2801 W Kinnickinnic River Pkwy Suite 165, Milwaukee WI 53215-3669. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Integrated Breast Specialists, S.C. can be contacted via phone (414) 385-8790, or through Mikkelson, Wendy via phone (414) 385-8790.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Suite 165 Milwaukee WI 53215-3669
Phone: (414) 385-8790
Fax: (414) 385-8791
Website:
Map and Directions
Authorized official contact:
Name: Mikkelson, Wendy Doctor of Medicine (MD)
Phone: (414) 385-8790

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1790730125
LBN Legal business name Integrated Breast Specialists, S.C.
DBA Doing business as
Authorized official Mikkelson, Wendy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1790730125 NPPES
Wisconsin MEDICAID 21269900

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