Provider Demographics
NPI:1295944635
Name:UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Entity type:Organization
Organization Name:UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, UWM IUHP
Authorized Official - Prefix:DR
Authorized Official - First Name:BEV
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN, FNP
Authorized Official - Phone:414-229-4432
Mailing Address - Street 1:PO BOX 413
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53201-0413
Mailing Address - Country:US
Mailing Address - Phone:414-229-4432
Mailing Address - Fax:414-229-5541
Practice Address - Street 1:1921 E HARTFORD AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-3060
Practice Address - Country:US
Practice Address - Phone:414-229-4432
Practice Address - Fax:414-229-5541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41865100Medicaid
WI42011900Medicaid
WI21268500Medicaid
WI44011400Medicaid