Wallskog, Joel A

Wallskog, Joel A is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Suite 345, Milwaukee WI 53215-3669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wallskog, Joel A can be contacted via phone (414) 649-7900.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Suite 345 Milwaukee WI 53215-3669
Fax: (414) 649-7499
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 39178 Wisconsin

Profile Details

NPI number 1598877193
LBN Legal business name Wallskog, Joel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 6th, 2021 - about 5 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 1598877193 NPPES
Wisconsin Other P00671036 RR MEDICARE
Wisconsin MEDICAID 34156000 RR MEDICARE

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