John David Lane, MD
John David Lane, MD is a Vascular & Interventional Radiology Physician in Bayside, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
500 W Brown Deer Rd Ste 202Bayside, WI 53217-1618
Phone: (414) 434-0461
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X · Licence 37503 (WI) |
|---|
Record details
| NPI number | 1962486498 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | November 29, 2005 |
| Last updated in NPPES | May 29, 2014 |
| Mailing address | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 |