Summit Medical Specialists, Sc | |
2717 N Grandview Blvd Ste 202 Waukesha WI 53188-1660 | |
(262) 513-0700 | |
(262) 513-0707 |
Full Name | Summit Medical Specialists, Sc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2717 N Grandview Blvd Ste 202, Waukesha, Wisconsin |
Authorized Official Name and Position | Tim Levenhagen (OWNER) |
Authorized Official Contact | 2625130700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Summit Medical Specialists, Sc 2717 N Grandview Blvd Ste 202 Waukesha WI 53188-1660 Ph: (262) 513-0700 | Summit Medical Specialists, Sc 2717 N Grandview Blvd Ste 202 Waukesha WI 53188-1660 Ph: (262) 513-0700 |
NPI Number | 1053538843 |
---|---|
Provider Enumeration Date | 04/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053538843 | NPI | - | NPPES |
32189000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 33398 (Wisconsin) | Primary |
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