Keely Marshall, M.D.
Dermatology in Wauwatosa, WI. Individual provider (NPI-1).
Details
- NPI
- 1184019010
- Entity type
- Individual (NPI-1)
- Name
- Keely Marshall
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2015
- Certification date
- Jul 26, 2022
- Last updated
- Jul 26, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DERMATOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 71531 | WI | Yes |
Practice location
10000 W Bluemound RdWauwatosa, WI 53226-4321
Phone 414-454-8000 · Fax 414-805-3808
Mailing address
10000 W Bluemound RdWauwatosa, WI 53226-4321
Phone 414-454-8000 · Fax 414-805-3808
Other practice locations
Oak Creek, WI 53154-2010
Phone 414-346-8000 · Fax 414-346-8010
Milwaukee, WI 53226-3522
Phone 414-805-5320 · Fax 414-805-5323
West Bend, WI 53095-9795
Phone 262-334-3451 · Fax 262-334-5321
Mequon, WI 53092-3414
Phone 262-518-1900 · Fax 262-518-5052
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dermatology Physician providers in Wauwatosa, WI
- James H Barnett, M.D.NPI 1366442691
- Keri Chaney, M.D.NPI 1154467827
- Dermatology Services, ScNPI 1295783496
- Dermavation, S.C.NPI 1013197862
- Forefront Dermatology, S.C.NPI 1881956456
- Kenneth B. Gordon, M.D.NPI 1790865806
- Daniel Raymond Knabel, M.D.NPI 1275920639
- Travis KuemmetNPI 1588027023
- Edit B Olasz Harken, M.D., PH.DNPI 1548333024
- Gretchen Roth, MDNPI 1912311614
All 13 Dermatology Physician providers in Wauwatosa · All 2,300 providers in Wauwatosa
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