Provider Demographics
NPI:1558132886
Name:DR W FUHR SERVICES LLC
Entity Type:Organization
Organization Name:DR W FUHR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:A
Authorized Official - Last Name:FUHR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-840-6610
Mailing Address - Street 1:S75W13863 BLUHM CT
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-8110
Mailing Address - Country:US
Mailing Address - Phone:414-840-6610
Mailing Address - Fax:
Practice Address - Street 1:2088 MILWAUKEE AVE STE 1
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53105-7790
Practice Address - Country:US
Practice Address - Phone:262-757-4131
Practice Address - Fax:262-757-4727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility