Individual ProviderDorota Anna MagdonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address945 N 12th St, Milwaukee, WI 53233-1305(414) 219-7427PECOS EnrollmentBased on the most recent information from CMS, provider Dorota Anna Magdon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1568048080Provider TypeIndividualFull NameMagdon, Dorota AnnaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/23/2021Last Updated3/23/2021Contact InformationPractice LocationPractice Address945 N 12th St, Milwaukee, WI 53233-1305Phone(414) 219-7427Fax(414) 219-6078Mailing LocationMailing Address945 N 12th St, Milwaukee, WI 53233-1305Phone(414) 219-7427Fax(414) 219-6078Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer