Suric, Vladimir
Suric, Vladimir is an individual health care provider with primary practice located at 1155 N Mayfair Rd , Milwaukee WI 53226-3462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Suric, Vladimir can be contacted via phone (414) 805-7342.Contact Information
Primary practice address
1155 N Mayfair Rd
Milwaukee WI 53226-3462
Phone: (414) 805-7342
Fax: (414) 805-7919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 80068 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 80068-20 | Wisconsin |
Profile Details
| NPI number | 1275053654 |
|---|---|
| LBN Legal business name | Suric, Vladimir |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2017 |
| Last updated | Jul 1st, 2022 - about 3 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 | 1275053654 | NPPES |
| Wisconsin | MEDICAID | 1275053654 |
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