Russell W Brethauer (NPI# 1023062528, PAC ID# 8426159435) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1023062528 |
| PAC ID by PECOS | 8426159435 |
| Professional Enrollment ID | I20070720000459 |
| Full Name | Russell W Brethauer |
| Address |
700 Pilgrim Pkwy Suite L9 Elm Grove WI 53122-2063 |
| Phone Number | 2627855557 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 700 Pilgrim Pkwy, Suite L9, Elm Grove, WI 53122-2063 | 2627855557 |
| Street Address |
700 PILGRIM PKWY SUITE L9 |
| City | ELM GROVE |
| State | WI |
| Zip | 53122-2063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank C Fantazzi | Physical Therapy | Pt Plus Management Corp | 700 Pilgrim Pkwy, L8, Elm Grove, WI 53122-2064 |
| Mark G Snyder | Physical Therapy | Pt Plus Management Corp | 700 Pilgrim Pkwy, L8, Elm Grove, WI 53122-2064 |
| Shana G Blackman | Physical Therapy | Pt Plus Management Corp | 700 Pilgrim Pkwy, L8, Elm Grove, WI 53122-2064 |
| Melody R Stier | Physical Therapy | Pt Plus Management Corp | 700 Pilgrim Pkwy, L8, Elm Grove, WI 53122-2064 |
| Rachel L Thiel | Physical Therapy | Pt Plus Management Corp | 700 Pilgrim Pkwy, Elm Grove, WI 53122-2064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sally S Tarvid | Clinical Social Worker | 740 Pilgrim Pkwy, Suite 103, Elm Grove, WI 53122-2066 | |
| Mark J Koch | Chiropractic | 1055 Legion Dr, Koch Chiropratic, Elm Grove, WI 53122-2202 | |
| Kyle Weber | Physical Therapy | 1135 Legion Dr, Elm Grove, WI 53122-2204 | |
| Edward Cooney | Internal Medicine | 15255 Watertown Plank Rd, Suite 200, Elm Grove, WI 53122-2338 | |
| David M Williams | Psychologist, Clinical | American Behavioral Clinics Sc | 15285 Watertown Plank Rd, Elm Grove, WI 53122-2339 |
| Christine Hansburg Hotson | Clinical Social Worker | American Behavioral Clinics Sc | 15285 Watertown Plank Rd, Elm Grove, WI 53122-2339 |
| Cassandra A Braam | Psychologist, Clinical | American Behavioral Clinics Sc | 15285 Watertown Plank Rd, Elm Grove, WI 53122-2339 |
| Lauri C Gebhard | Psychologist, Clinical | 15300 Watertown Plank Rd, Suite 106, Elm Grove, WI 53122-2348 | |
| Michael R Lablanc | Chiropractic | 15300 Watertown Plank Rd, Suite 150, Elm Grove, WI 53122-2350 | |
| Maria T Zanoni | Physical Therapy | 890 Elm Grove Rd, 104b, Elm Grove, WI 53122-2528 | |
| Find all physicians in zip 53122 | |||
| City | ELM GROVE |
| Zip Code | 53122 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | ELM GROVE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Russell W Brethauer.
| 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.