Brian R Wolter (NPI# 1588638498, PAC ID# 9234187758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588638498 |
| PAC ID by PECOS | 9234187758 |
| Professional Enrollment ID | I20050111000421 |
| Full Name | Brian R Wolter |
| Organization Legal Name | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| Address |
140 E Water St Suite 1 West Bend WI 53095-3415 |
| Phone Number | 2623558010 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3274842034 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520063 | ST JOSEPHS COMMUNITY HOSPITAL WEST BEND |
| 520177 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 | 4142171229 | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| 140 E Water St, Suite 1, West Bend, WI 53095-3415 | 2623558010 | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| 3200 Pleasant Valley Rd, Suite 1a, West Bend, WI 53095-9274 | 4148055113 | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| Organization Legal Name | INDEPENDENT PHYSICIANS OF WISCONSIN LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vicki Milroy | Nurse Practitioner | Independent Physicians of Wisconsin LLC | 501 Superior Ave, Sheboygan, WI 53081-2855 |
| Maqbool Arshad | Pulmonary Disease | Independent Physicians of Wisconsin LLC | 5800 W Burleigh St, Milwaukee, WI 53210-1516 |
| Kirsten L Oquinn | Family Medicine | Independent Physicians of Wisconsin LLC | W178n9912 Rivercrest Dr, Suite 105, Germantown, WI 53022-4662 |
| Chad F Tamez | Family Medicine | Independent Physicians of Wisconsin LLC | W178n9201 Water Tower Pl, Suite 200, Menomonee Falls, WI 53051-8029 |
| Nikki J Allen | Family Medicine | Independent Physicians of Wisconsin LLC | 4580 S Nicholson Ave, Cudahy, WI 53110-1360 |
| Miodrag M Popovich | Diagnostic Radiology | Independent Physicians of Wisconsin LLC | 2501 W Silver Spring Dr, Glendale, WI 53209-4217 |
| Mohammad Q Khan | Internal Medicine | Independent Physicians of Wisconsin LLC | 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 |
| Malik S Ali | Internal Medicine | Independent Physicians of Wisconsin LLC | 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 |
| Pamela D Powell | Nurse Practitioner | Independent Physicians of Wisconsin LLC | 5434 W Capitol Dr, Suite 3, Milwaukee, WI 53216-2298 |
| Gary S Lewis | Family Medicine | Independent Physicians of Wisconsin LLC | 136 N Main St, Suite 201, Thiensville, WI 53092-1606 |
| Street Address |
140 E WATER ST SUITE 1 |
| City | WEST BEND |
| State | WI |
| Zip | 53095-3415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa G Kornely | Podiatry | 2358 W Washington St, West Bend, WI 53095-2118 | |
| Craig J Schoenecker | Psychiatry | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Kristin L Woznicki Servi | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Alicia K Leslie | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Christopher J Christian | Psychiatry | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Samantha A Sprung | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Sarah J Witte | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Laura Collins | Nurse Practitioner | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| William M Drankiewicz | Clinical Psychologist | Washington County Wisconsin | 333 E Washington St, Suite 2100, West Bend, WI 53095-2503 |
| Melissa A Kowalske | Clinical Social Worker | Washington County Wisconsin | 333 E Washington St, West Bend, WI 53095-2503 |
| Find all physicians in zip 53095 | |||
| City | WEST BEND |
| Zip Code | 53095 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WEST BEND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brian R Wolter.
| 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.