MSN Care

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

MSN CARE

Practice address

9330 W Lincoln Ave Ste 10
West Allis, WI 53227-2300

Phone

(414) 366-2985

NPI assigned

Jun 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vyacheslav Dubrovsky, APNP BC

Title

President

Phone

(414) 915-6255

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Greditor, NP

  • Family Nurse Practitioner
  • Mequon, WI
  • NPI 1639227275
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1669032363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12507 N EMILY LN",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922611",
            "telephone_number": "414-915-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 W LINCOLN AVE STE 10",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272300",
            "telephone_number": "414-366-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "DUBROVSKY",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-915-6255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APNP BC"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669032363",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "9330 W Lincoln Ave Ste 10",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532272300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Mortimer, LAT, C
• Carolyn Lee Moskonas
• Mother to Mothers Care LLC
• Milan Mrkalj, DPT
• Paul Chester Mroczkowski, D.D.S.
• Rae Jean Muchenberger, PTA
• Amy Mudlaff, MS/CCC-SLP
• Brad M Mueller, D.C.
• Mary Paula Mueller, PT
• Michelle Ann Mueller, DPT

• Addiction Medicine (Family Medicine) Physician in West Allis, WI
• Providers in West Allis, WI by specialty
• Addiction Medicine (Family Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.