Provider Demographics
NPI:1952637522
Name:ROBERT J FRITZ MD LTD
Entity Type:Organization
Organization Name:ROBERT J FRITZ MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRITZ MD LTD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-384-1372
Mailing Address - Street 1:3535 W OKLAHOMA AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-4171
Mailing Address - Country:US
Mailing Address - Phone:414-384-1372
Mailing Address - Fax:414-384-1093
Practice Address - Street 1:3535 W OKLAHOMA AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-4171
Practice Address - Country:US
Practice Address - Phone:414-384-1372
Practice Address - Fax:414-384-1093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13054207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30914900Medicaid
WI30914900Medicaid
WI73113Medicare PIN