Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Calvin Thomas Dassow, AA

Individual provider Anesthesiologist Assistant · NPI 1780491464

Calvin Thomas Dassow, AA is an Anesthesiology Assistant in Milwaukee, Wisconsin. Graduated from Medical College of Wisconsin in 2024, 2 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2024
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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-8700
Fax: (414) 259-1522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 — (262) 251-1000
  • 900 N 92nd St, Wauwatosa, WI 53226-1202 — (414) 805-3000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 568 (WI)

Record details

NPI number1780491464
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedDecember 16, 2024
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2024 (2 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Milwaukee