Provider Demographics
NPI:1396780037
Name:CLOUD, PATRICK M (MD)
Entity type:Individual
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First Name:PATRICK
Middle Name:M
Last Name:CLOUD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4555 WEST SCHROEDER DR
Mailing Address - Street 2:STE 170
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223
Mailing Address - Country:US
Mailing Address - Phone:414-365-3210
Mailing Address - Fax:414-365-3225
Practice Address - Street 1:6200 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3529
Practice Address - Country:US
Practice Address - Phone:520-742-9000
Practice Address - Fax:659-235-6176
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2024-11-25
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Provider Licenses
StateLicense IDTaxonomies
WI45691207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34437600Medicaid
H96487Medicare UPIN