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DR. KATIE MARIE MUTKE MD
NPI 1104445642
Pediatrics - Pediatric Critical Care Medicine in Milwaukee, WI

Active since April 14, 2020
9000 W WISCONSIN AVE # MS 681, MILWAUKEE, WI 53226(414) 337-6773 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2024, Apr 21, 2024, Apr 14, 2020 (3 updates tracked since 2020).

About Dr. Katie Marie Mutke Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATIE MARIE MUTKE MD (NPI 1104445642) is an individual pediatric critical care medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (83851-20) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1104445642
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. KATIE MARIE MUTKECredential: MD
Location Address9000 W WISCONSIN AVE # MS 681Milwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave # Ms 681Milwaukee, WI 53226-4874
Phone(414) 337-6773
Sole ProprietorNo
Enumeration DateApril 14, 2020
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1104445642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in WI · 83851-20
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
9000 W WISCONSIN AVE # MS 681, Milwaukee, WI 53226
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE ANNE STEGMEIER MD
Pediatrics
9000 W WISCONSIN AVE # MS 681
MILWAUKEE, WI 53226
Milwaukee County (414) 337-6773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Mutke's NPI number?

The NPI number for Katie Mutke is 1104445642. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Katie Mutke located?

Katie Mutke practices at 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226. The listed phone number is (414) 337-6773.

What is Katie Mutke's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Katie Mutke was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.