Organization · Type 2 NPI
Martin Men's Medical Clinic of Wisconsin
Clinic/Center · Wauwatosa, WI
NPI number
1184958209
Active
Practice location
2949 N Mayfair Rd Ste 300
Wauwatosa, WI 53222-4304
Fax (414) 454-6420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 20798-020 (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).
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About NPI 1184958209
Martin Men's Medical Clinic of Wisconsin's National Provider Identifier is 1184958209, issued on Sep 22, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Wauwatosa, WI. The record was last updated on Sep 22, 2009.