Evan Guettel (NPI# 1609265214, PAC ID# 5294060695) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1609265214 |
| PAC ID by PECOS | 5294060695 |
| Professional Enrollment ID | I20190708001474 |
| Full Name | Evan Guettel |
| Organization Legal Name | TEAM REHABILITATION WI07 LLC |
| Address |
11363 N Port Washington Rd Mequon WI 53092-3411 |
| Phone Number | 2628332060 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0042550519 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11363 N Port Washington Rd, Mequon, WI 53092-3411 | 2628332060 | TEAM REHABILITATION WI07 LLC |
| Organization Legal Name | TEAM REHABILITATION WI07 LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Marie Domnitz | Physical Therapy | Team Rehabilitation Wi07 LLC | 11363 N Port Washington Rd, Mequon, WI 53092-3411 |
| Street Address |
11363 N PORT WASHINGTON RD |
| City | MEQUON |
| State | WI |
| Zip | 53092-3411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Marie Domnitz | Physical Therapy | Team Rehabilitation Wi07 LLC | 11363 N Port Washington Rd, Mequon, WI 53092-3411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce C Herman | Internal Medicine | 407 N Main St, Thiensville, WI 53092-1212 | |
| Therese A Jaeckle | Nurse Practitioner | 136 N Main St, Suite 304, Thiensville, WI 53092-1606 | |
| Gary S Lewis | Family Medicine | Independent Physicians of Wisconsin LLC | 136 N Main St, Suite 201, Thiensville, WI 53092-1606 |
| Maria P Fenske | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
| James R Shelstad | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
| Sarah J Krueger | Psychologist, Clinical | 216 N Green Bay Ave, Suite 108, Thiensville, WI 53092-1625 | |
| Sharon K Thurow | Nurse Practitioner | 216 Green Bay Rd, Suite 101, Thiensville, WI 53092-1625 | |
| Lynn M Fitzsimmons | Psychologist, Clinical | 216 Green Bay Rd, Suite 108, Thiensville, WI 53092-1625 | |
| David B Tick | Internal Medicine | 216 Green Bay Rd, Thiensville, WI 53092-1658 | |
| Krista M Dyreson | Family Medicine | Aurora Advanced Healthcare Inc | 6425 W Mequon Rd, Mequon, WI 53092-1855 |
| Find all physicians in zip 53092 | |||
| City | MEQUON |
| Zip Code | 53092 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MEQUON + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.