Maple Medical SC
Maple Medical SC is a Geriatric Medicine (Family Medicine) Physician in Waukesha, Wisconsin. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 4
Practice location Address checks out
2428 N Grandview Blvd Ste 102Waukesha, WI 53188-6906
Phone: (877) 307-3226
Fax: (877) 307-3226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X |
|---|---|
| Geriatric Medicine (Family Medicine) Physician | Taxonomy 207QG0300X |
| Internal Medicine Physician | Taxonomy 207R00000X |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X |
Record details
| NPI number | 1487152104 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Harry Hostetler — Owner · (262) 875-5070 |
| NPI enumerated | January 28, 2018 |
| Last updated in NPPES | June 14, 2021 |
| Certification date | June 14, 2021 |
| Mailing address | Po Box 474, Hartland, WI 53029-0474 |