Unknown Individual – Clinical Genetics (M.D.) Physician, NPI 1598705279

Unknown Individual is a healthcare provider. based in Milwaukee, Wisconsin. specializing in Clinical Genetics (M.D.) Physician. They hold a License No. 21932 (WI). The NPI Number for Unknown Individual is 1598705279

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1598705279
Phone
(414) 228-0100
Address
1626 W FOND DU LAC AVE
Deactivation Date
11 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1626, West Fond du Lac Avenue, Triangle North, Milwaukee, Milwaukee County, Wisconsin, 53205, United States

    # 110

    MILWAUKEE, WI 532051228

    Phone: (414) 228-0100

    Fax: (414) 228-8774

    Type: Mailing

  • 2311, West Good Hope Road, Town & Country Manor, Glendale, Milwaukee County, Wisconsin, 53209, United States

    GLENDALE, WI 532092735

    Phone: (414) 228-0100

    Fax: (414) 228-8774

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53205)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1598705279.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Clinical Genetics (M.D.) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Milwaukee, Wisconsin may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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