Provider Demographics
NPI:1740677194
Name:BACKES, EMILY (MD)
Entity type:Individual
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First Name:EMILY
Middle Name:
Last Name:BACKES
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Gender:F
Credentials:MD
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Mailing Address - Street 1:999 N 92ND ST
Mailing Address - Street 2:SUITE 730
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4875
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:999 N 92ND ST
Practice Address - Street 2:SUITE 730
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4875
Practice Address - Country:US
Practice Address - Phone:414-266-6800
Practice Address - Fax:414-337-7068
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2022-09-19
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Provider Licenses
StateLicense IDTaxonomies
KS04-464752080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology