Provider Demographics
NPI:1033738091
Name:MILWAUKEE EYE SURGEONS SC
Entity Type:Organization
Organization Name:MILWAUKEE EYE SURGEONS SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-377-5550
Mailing Address - Street 1:16650 W BLUEMOUND RD STE 400B
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-5920
Mailing Address - Country:US
Mailing Address - Phone:414-377-5550
Mailing Address - Fax:414-377-5550
Practice Address - Street 1:16650 W BLUEMOUND RD STE 400B
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-5920
Practice Address - Country:US
Practice Address - Phone:414-377-5550
Practice Address - Fax:414-377-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases SpecialistGroup - Multi-Specialty