Waukesha County

Specialty details in registry · Waukesha, WI

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At a glance

514 Riverview Ave, Waukesha, WI 53188-3632

NPPES record updated Nov 10, 2025. Public records can lag behind changes at a practice.

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Practice location

514 Riverview Ave
Waukesha, WI 53188-3632
Professional details: NPI, taxonomy & registry record
NPI1003930223
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251B00000X
Enumeration date
Mar 16, 2007
Record updated
Nov 10, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251B00000X · Primary

License reported: 43077000 WI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

514 Riverview Ave
Waukesha, WI 53188-3632
Phone
(262) 548-7399
Fax
(262) 970-6696
Mailing address
514 RIVERVIEW AVE
ATTN: FISCAL DEPARTMENT
WAUKESHA, WI 531883632
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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