THE MEDICAL COLLEGE OF WISCONSIN INC
NPI 1356892376
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in West Allis, WI

Active since October 14, 2016
11340 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214(800) 881-5101 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About THE MEDICAL COLLEGE OF WISCONSIN INC

This page provides the complete NPI Profile along with additional information for The Medical College Of Wisconsin Inc, a provider established in West Allis, Wisconsin operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1356892376 assigned on October 2016. The practitioner's primary taxonomy code is 261QE0700X with license number 18653-40 (WI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Katherine Nora Gharibian Pharm.d. (Assistant Professor)

NPI
1356892376 Verify this NPI
Provider Name
THE MEDICAL COLLEGE OF WISCONSIN INC
Entity Type
Organization
Location Address
11340 W THEODORE TRECKER WAY WEST ALLIS, WI 53214
Location Phone
(800) 881-5101
Mailing Address
8701 W WATERTOWN PLANK RD MEDICAL EDUCATION BUILDING M1552 MILWAUKEE, WI 53226
Mailing Phone
(414) 955-2859
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2016
Last Update Date
10-14-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
18653-40
License State
WI

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHERINE NORA GHARIBIAN PHARM.D.

Authorized Official Title
ASSISTANT PROFESSOR
Authorized Official Phone
(414) 955-2859

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356892376, enumerated as an "organization" on October 14, 2016.

The provider is located at 11340 W THEODORE TRECKER WAY WEST ALLIS, WI 53214 and the phone number is (800) 881-5101.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.