Organization · Type 2 NPI
Visiting Medical Doctors
General Practice Physician · Oak Creek, WI
NPI number
1235443615
Active
Practice location
7071 S 13th St, STE#103
Oak Creek, WI 53154-1466
Fax (414) 764-6091
Mailing address
N85W18181 Tyler Dr
Menomonee Falls, WI 53051-2535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Oak Creek
About NPI 1235443615
Visiting Medical Doctors's National Provider Identifier is 1235443615, issued on Jul 28, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Oak Creek, WI. The record was last updated on Jan 6, 2011.