IndividualActive
John Lane, M.D.
NPI 1962486498 · Vascular & Interventional Radiology Physician · Bayside, WI
Provider details
- NPI number
- 1962486498
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 37503 (WI)
Practice location
500 W Brown Deer Rd
Suite 202
Bayside, WI 53217-1618
Phone: (414) 434-0461
Mailing address
500 W Brown Deer Rd
Bayside, WI 53217-1618
Registry dates
- Enumerated
- 2005-11-29
- Last updated
- 2014-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.