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Contact Information

JUSTIN CORCORAN, MD
9200 W WISCONSIN AVE
MILWAUKEE, WI53226-3522
 Phone: 414-805-6450
 Fax: 414-805-6464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JUSTIN CORCORAN · (Male)

NPI # 1174903645
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2015
Last updated 11/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 73181
  • WI Medicaid 1174903645
Hospital affiliation(s)
  • FROEDTERT MEMORIAL LUTHERAN HSPTL - (Acute Care)
    9200 W WISCONSIN AVE
    MILWAUKEE, WI 53226
  • ST JOSEPHS COM HSPTL WEST BEND - (Acute Care)
    3200 PLEASANT VALLEY ROAD
    WEST BEND, WI 53095
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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