Provider Demographics
NPI:1093177446
Name:WAUKESHA COUNTY
Entity Type:Organization
Organization Name:WAUKESHA COUNTY
Other - Org Name:MEDICAL EXAMINER
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL EXAMINER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEDRZYCKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:262-548-7575
Mailing Address - Street 1:515 W MORELAND BLVD
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-2428
Mailing Address - Country:US
Mailing Address - Phone:262-548-7575
Mailing Address - Fax:262-896-8079
Practice Address - Street 1:515 W MORELAND BLVD
Practice Address - Street 2:MEDICAL EXAMINER
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-2428
Practice Address - Country:US
Practice Address - Phone:262-548-7575
Practice Address - Fax:262-896-8079
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WAUKESHA COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-24
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic PathologyGroup - Multi-Specialty
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No207ZP0213XAllopathic & Osteopathic PhysiciansPathologyPediatric PathologyGroup - Multi-Specialty