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

Dr. Tatiana Petrikova, MD

Individual provider Family Medicine Physician · NPI 1528313061

Dr. Tatiana Petrikova, MD is a Family Practice in Milwaukee, Wisconsin. Qualified in 2011, 15 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

163 N Milwaukee St
Milwaukee, WI 53202-6012
Phone: (414) 227-1127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 36500 Aurora Dr, Summit, WI 53066-4899 — (262) 434-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 64190-20 (WI)

Record details

NPI number1528313061
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2012
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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