Provider Demographics
NPI:1730637976
Name:ORGAN, WILLIAM BRETT (AA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:BRETT
Last Name:ORGAN
Suffix:
Gender:M
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 E WANDA AVE
Mailing Address - Street 2:
Mailing Address - City:CUDAHY
Mailing Address - State:WI
Mailing Address - Zip Code:53110-2536
Mailing Address - Country:US
Mailing Address - Phone:414-617-2873
Mailing Address - Fax:
Practice Address - Street 1:2915 E WANDA AVE
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:WI
Practice Address - Zip Code:53110-2536
Practice Address - Country:US
Practice Address - Phone:414-617-2873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant