Provider Demographics
NPI:1366435265
Name:STRASBURGER, JANETTE F (MD)
Entity type:Individual
Prefix:
First Name:JANETTE
Middle Name:F
Last Name:STRASBURGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 W WISCONSIN AVENUE
Mailing Address - Street 2:PEDIATRIC CARDIOLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-6457
Mailing Address - Fax:414-266-3261
Practice Address - Street 1:9000 W WISCONSIN AVENUE
Practice Address - Street 2:PEDIATRIC CARDIOLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-266-6457
Practice Address - Fax:414-266-3261
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3360386722080P0202X
WI430560202080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34141100Medicaid
WI1366435265Medicaid
IL036075305Medicaid
WI680860596Medicare PIN
003773601Medicare ID - Type Unspecified
WI1366435265Medicaid
WI602550076Medicare PIN