Organization · Type 2 NPI

Faithful Physician Services LLC

Family Medicine Physician · Pewaukee, WI

NPI number 1467817320 Active

Practice location

1109 Cecelia Drive
Pewaukee, WI 53072-2524

Call (262) 373-6733 Map

Fax (262) 373-6018

Mailing address

12420 W Hampton Ave #89
Butler, WI 53007-0089

Other practice locations

347 Park Ave, Pewaukee, WI 53072-3413 · (262) 373-6733

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	53437-20 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other family medicine physician providers in Pewaukee

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NPI record

NPI: 1467817320
Entity type: Organization (Type 2)
Issued: Dec 20, 2015
Last updated: Jun 27, 2018
Status: Active

Other names

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Faithful Physician Services · doing business as
Faithful Physician Services · doing business as

Authorized official

Dr. Steven Mather Kotsonis, MD
Owner
(262) 373-6733

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467817320

Faithful Physician Services LLC's National Provider Identifier is 1467817320, issued on Dec 20, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pewaukee, WI. The record was last updated on Jun 27, 2018.