Provider Demographics
NPI:1396792891
Name:ROUTES, JOHN M (MD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:M
Last Name:ROUTES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:PEDIATRIC ALLERY AND IMMUNOLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-6450
Mailing Address - Fax:414-266-6849
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:PEDIATRIC ALLERY AND IMMUNOLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-266-6450
Practice Address - Fax:414-266-6849
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2011-11-01
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Provider Licenses
StateLicense IDTaxonomies
WI493002080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1396792891Medicaid
WI1396792891Medicaid
WI089T73601Medicare PIN