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Contact Information

JUSTIN M COLE, CAA
2901 W KINNICKINNIC RIVER PKWY STE 305
MILWAUKEE, WI53215-3660
 Phone: 414-649-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
Indicates primary specialty

NPI Profile & details for JUSTIN M COLE · (Male)

NPI Number 1003403791
Status Active
Credentials CAA
Entity Individual
Enumeration date 12/29/2020
Last updated 04/22/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI Medicaid 100146568
Hospital affiliation(s)
  • AURORA MEDICAL CENTER - (Acute Care)
    36500 AURORA DRIVE
    SUMMIT, WI 53066
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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