Lauren Anne Talatzko (NPI# 1508223868, PAC ID# 5799080768) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1508223868 |
| PAC ID by PECOS | 5799080768 |
| Professional Enrollment ID | I20160229003037 |
| Full Name | Lauren Anne Talatzko |
| Organization Legal Name | CLEANSLATE MEDICAL GROUP OF WISCONSIN SC |
| Address |
20611 Watertown Rd Suite E Waukesha WI 53186-1871 |
| Phone Number | 2629014450 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4284905134 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 377 W River Woods Pkwy, Suite 201, Glendale, WI 53212-1088 | 4143236880 | CLEANSLATE MEDICAL GROUP OF WISCONSIN SC |
| 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871 | 2629014450 | CLEANSLATE MEDICAL GROUP OF WISCONSIN SC |
| Organization Legal Name | CLEANSLATE MEDICAL GROUP OF WISCONSIN SC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marta Obniski | Nurse Practitioner | Cleanslate Medical Group of Wisconsin Sc | 579 Donofrio Dr, Suite 1, Madison, WI 53719-2838 |
| Paul Antonissen | Nurse Practitioner | Cleanslate Medical Group of Wisconsin Sc | 7201 Green Bay Rd, Kenosha, WI 53142-3532 |
| Gregory Kaftan | Preventative Medicine | Cleanslate Medical Group of Wisconsin Sc | 377 W River Woods Pkwy, Suite 201, Glendale, WI 53212-1088 |
| Viet Vignieri | Physician Assistant | Cleanslate Medical Group of Wisconsin Sc | 1111 S 6th St, Milwaukee, WI 53204-2301 |
| Alice S Haupt | Obstetrics/gynecology | Cleanslate Medical Group of Wisconsin Sc | 800 55th St, Kenosha, WI 53140-3733 |
| Louis-marcel A Cesar | Emergency Medicine | Cleanslate Medical Group of Wisconsin Sc | 1111 S 6th St, Milwaukee, WI 53204-2301 |
| Jodi Kruszka | Nurse Practitioner | Cleanslate Medical Group of Wisconsin Sc | 1111 S 6th St, Milwaukee, WI 53204-2301 |
| Sarah M Slaasted | Nurse Practitioner | Cleanslate Medical Group of Wisconsin Sc | 377 W River Woods Pkwy, Suite 201, Glendale, WI 53212-1088 |
| Bruce Alan Weiss | Internal Medicine | Cleanslate Medical Group of Wisconsin Sc | 377 W River Woods Pkwy, Suite 201, Glendale, WI 53212-1088 |
| Laura Zellmer | Family Medicine | Cleanslate Medical Group of Wisconsin Sc | 377 W River Woods Pkwy, Suite 201, Glendale, WI 53212-1088 |
| Street Address |
20611 WATERTOWN RD SUITE E |
| City | WAUKESHA |
| State | WI |
| Zip | 53186-1871 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zenia Sarker | Nurse Practitioner | Cleanslate Medical Group of Wisconsin Sc | 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871 |
| Judith A May | Anesthesiology | Cleanslate Medical Group of Wisconsin Sc | 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871 |
| Jean A Ibric | Family Medicine | Cleanslate Medical Group of Wisconsin Sc | 20611 Watertown Rd, Suite E, Waukesha, WI 53186-1871 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renelle L Staus | Nurse Practitioner | Aurora Medical Group Inc | W231 N1440 Corporate Court, Waukesha, WI 53186-1303 |
| Lauren P Rimoin | Dermatology | Aurora Medical Group Inc | W231 N1440 Corporate Court, Waukesha, WI 53186-1303 |
| David Munoz | Family Medicine | Aurora Medical Group Inc | W231 N1440 Corporate Court, Waukesha, WI 53186-1303 |
| Anjoo M Gharia | Family Medicine | Aurora Medical Group Inc | W231 N1440 Corporate Court, Waukesha, WI 53186-1303 |
| Crystal Y Rieser | Family Medicine | Aurora Medical Group Inc | W231 N1440 Corporate Court, Waukesha, WI 53186-1303 |
| Chihab E Bilal | Family Medicine | Aurora Medical Group Inc | W231 N1440 Corporate Court, Waukesha, WI 53186-1303 |
| Jennifer J Nicpon | Nurse Practitioner | Aurora Medical Group Inc | W231 N1440 Corporate Court, Waukesha, WI 53186-1303 |
| Marie A Dauenhauer | Dermatology | Aurora Medical Group Inc | W231 N1440 Corporate Court, Waukesha, WI 53186-1303 |
| Gregory G Sehring | Family Medicine | Aurora Medical Group Inc | W231 N1440 Corporate Court, Waukesha, WI 53186-1303 |
| Colleen M Koster | Clinical Social Worker | Aurora Medical Group Inc | W231 N1440 Corporate Court, Waukesha, WI 53186-1303 |
| Find all physicians in zip 53186 | |||
| City | WAUKESHA |
| Zip Code | 53186 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WAUKESHA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lauren Anne Talatzko.
| 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.