IndividualActive
Jerry Bloomstein, MD
NPI 1356475594 · Child & Adolescent Psychiatry Physician · Wauwatosa, WI
Provider details
- NPI number
- 1356475594
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 28817 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1220 Dewey Ave
Bldg 2
Wauwatosa, WI 53213-2504
Phone: (414) 454-6500
Approximate (ZIP-level) locationGet directions
Mailing address
1774 N 84th St
Wauwatosa, WI 53226-2817
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2021-11-23
- Certified
- 2021-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.