| Indonesia Medical Clinic | |
|
6300 N 76th St Ste 250 Milwaukee WI 53218-1208 | |
| (414) 446-4660 | |
| Not Available |
| Full Name | Indonesia Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 6300 N 76th St Ste 250, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Herr Yang (PRESIDENT) |
| Authorized Official Contact | 4143971654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indonesia Medical Clinic 6300 N 76th St Ste 250 Milwaukee WI 53218-1208 Ph: (414) 446-4660 | Indonesia Medical Clinic 6300 N 76th St Ste 250 Milwaukee WI 53218-1208 Ph: (414) 446-4660 |
| NPI Number | 1366814162 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 11/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366814162 | NPI | - | NPPES |
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