Advanced Lipidology, S.c. | |
524 Milwaukee St Suite 180 Delafield WI 53018-1460 | |
(262) 646-3223 | |
(262) 646-3443 |
Full Name | Advanced Lipidology, S.c. |
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Speciality | Family Medicine |
Location | 524 Milwaukee St, Delafield, Wisconsin |
Authorized Official Name and Position | Tara Dall (OWNER) |
Authorized Official Contact | 2626463223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Lipidology, S.c. 524 Milwaukee St Suite 180 Delafield WI 53018-1460 Ph: (262) 646-3223 | Advanced Lipidology, S.c. 524 Milwaukee St Suite 180 Delafield WI 53018-1460 Ph: (262) 646-3223 |
NPI Number | 1407016686 |
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Provider Enumeration Date | 06/11/2008 |
Last Update Date | 06/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407016686 | NPI | - | NPPES |
32610400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 41339 (Wisconsin) | Primary |
Uwhp Wrmc Heart & Vascular Center Delafield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 Milwaukee St, Suite 180, Delafield, WI 53018 Phone: 920-262-4449 Fax: 920-262-4533 | |
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