Provider Demographics
NPI:1659560712
Name:NOE, JOSHUA DENNIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DENNIS
Last Name:NOE
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:PEDIATRIC GASTROENTEROLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-2850
Mailing Address - Fax:414-266-3676
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:PEDIATRIC GASTROENTEROLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-266-2850
Practice Address - Fax:414-266-3676
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI519142080P0206X
IN39020000X2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1659560712Medicaid
WI680860543Medicare PIN
WI736011376Medicare PIN
WI075200040Medicare PIN
WI320640134Medicare PIN