Organization · Type 2 NPI

Great Lakes Family Medical Center Inc

Clinic/Center · Kenosha, WI

NPI number 1093900136 Active

Practice location

6123 Green Bay Rd, Suite 120
Kenosha, WI 53142-2927

Call (262) 764-4390 Map

Fax (262) 764-4396

Mailing address

6123 Green Bay Road, Suite 120
Kenosha, WI 53142-2927

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X45606020 (WI)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

11 other providers at this address

Other clinic/center providers in Kenosha

See all in Kenosha →

About NPI 1093900136

Great Lakes Family Medical Center Inc's National Provider Identifier is 1093900136, issued on Sep 12, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Kenosha, WI. The record was last updated on Aug 26, 2010.