Military Health Care Provider Health Providers - WISCONSIN
171000000X - Military Health Care Provider
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
List of 12 registered providers with a business address in Wisconsin whose primary or secondary health provider taxonomy code is Military Health Care Provider, all registered as individuals.
100% Individual Providers (12)42% Female Providers (5)58% Male Providers (7)
List of Providers
| Provider Name | Type | Address | Medicare | PECOS | |
|---|---|---|---|---|---|
| DOMINIC THEODORE GOMEZ LEONARDELLI | Individual | 225000 HUMMINGBIRD RD STE 100 WAUSAU, WI 54401 (715) 359-6442 | Non-Participating Provider | YES | |
| DAVE MACK | Individual | 1514 DRAKE ST. MADISON, WI 53711 (608) 294-9922 | Non-Participating Provider | NO | |
| CHRISTOPHER ROBERT O'CONNELL | Individual | 6001 MANUFACTURERS DR STE 110 54TH CIVIL SUPPORT TEAM MADISON, WI 53704 (608) 245-8441 | Non-Participating Provider | YES | |
| ROWENA ELIZABETH PAPSON | Individual | 717 W MORELAND BLVD WAUKESHA, WI 53188 (262) 542-9100 | Accepts Medicare | YES | |
| RICHARD POIRIER | Individual | 2253 W MASON ST GREEN BAY, WI 54303 (920) 327-7300 | Accepts Medicare | YES | |
| JAMIE SUE SCHILL | Individual | 410 DEWEY ST WISCONSIN RAPIDS, WI 54494 (715) 422-9361 | Non-Participating Provider | YES | |
| OMER SHARIF | Individual | BELOIT MEMORIAL HOSPITAL 1969 W. HART ROAD BELOIT, WI 53511 (608) 363-5971 | Accepts Medicare | YES | |
| SHANNON JO SHILLIN | Individual | 5000 W NATIONAL AVE MILWAUKEE, WI 53295 (414) 384-2000 | Non-Participating Provider | NO | |
| GABRIELL SNIDER | Individual | 509 UNIVERSITY DRIVE EAU CLAIRE, WI 54701 (715) 836-3377 | Non-Participating Provider | NO | |
| CHRISTOPHER C TAYLOR | Individual | 3200 E RACINE ST JANESVILLE, WI 53546 (608) 371-8000 | Accepts Medicare | YES | |
| CHARMAINE A UNTIEDT | Individual | 1821 S STOUGHTON RD MADISON, WI 53716 (608) 260-6004 | Non-Participating Provider | NO | |
| ERIC G VERWIEBE | Individual | 36500 AURORA DR SUMMIT, WI 53066 (262) 434-1000 | Accepts Medicare | YES |
Showing page 1 of 1. The results table displays up to 100 results per page and is sorted by last name / organization name.
Individual Female Provider | Individual Male Provider | Medical Organization
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