Mark Edward German (NPI# 1912902388, PAC ID# 1456544303) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1912902388 |
PAC ID by PECOS | 1456544303 |
Professional Enrollment ID | I20101022001260 |
Full Name | Mark Edward German |
Organization Legal Name | LAKESHORE EYE CARE PROFESSIONALS, SC |
Address |
10320 N Port Washington Rd Mequon WI 53092-5767 |
Phone Number | 2622411919 |
Gender | M |
Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
Graduation Year | 1987 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 0143210005 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
10320 N Port Washington Rd, Mequon, WI 53092-5767 | 2622411919 | LAKESHORE EYE CARE PROFESSIONALS, SC |
620 E Greenbay Ave, Suite 124, Saukville, WI 53080-2047 | 2622689537 | LAKESHORE EYE CARE PROFESSIONALS, SC |
620 E Greenbay Ave, Saukville, WI 53080-2047 | 2622689537 | LAKESHORE EYE CARE PROFESSIONALS, SC |
Organization Legal Name | LAKESHORE EYE CARE PROFESSIONALS, SC |
Physicians | 1 |
Street Address |
10320 N PORT WASHINGTON RD |
City | MEQUON |
State | WI |
Zip | 53092-5767 |
Name | Specialty | Organization | Address |
---|---|---|---|
Martha F Jay | Ophthalmology | Madison Medical Affiliates Inc | 10320 N Port Washington Rd, Mequon, WI 53092-5767 |
Lisa W Bennett | Ophthalmology | Madison Medical Affiliates Inc | 10320 N Port Washington Rd, Mequon, WI 53092-5767 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bruce C Herman | Internal Medicine | 407 N Main St, Thiensville, WI 53092-1212 | |
Therese A Jaeckle | Nurse Practitioner | 136 N Main St, Suite 304, Thiensville, WI 53092-1606 | |
Gary S Lewis | Family Medicine | Independent Physicians of Wisconsin LLC | 136 N Main St, Suite 201, Thiensville, WI 53092-1606 |
Maria P Fenske | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
James R Shelstad | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
Sarah J Krueger | Psychologist, Clinical | 216 N Green Bay Ave, Suite 108, Thiensville, WI 53092-1625 | |
Sharon K Thurow | Nurse Practitioner | 216 Green Bay Rd, Suite 101, Thiensville, WI 53092-1625 | |
Lynn M Fitzsimmons | Psychologist, Clinical | 216 Green Bay Rd, Suite 108, Thiensville, WI 53092-1625 | |
David B Tick | Internal Medicine | 216 Green Bay Rd, Thiensville, WI 53092-1658 | |
Krista M Dyreson | Family Medicine | Aurora Advanced Healthcare Inc | 6425 W Mequon Rd, Mequon, WI 53092-1855 |
Find all physicians in zip 53092 |
City | MEQUON |
Zip Code | 53092 |
Specialty | OPTOMETRY |
City + Specialty | MEQUON + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.