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13111 N Port Washington Rd Mequon WI 53097-2416 | |
| (414) 270-4932 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 13111 N Port Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Michael Mccullough (CFO) |
| Authorized Official Contact | 4144653736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4425 N Port Washington Rd Glendale WI 53212-1082 Ph: (414) 326-2100 | 13111 N Port Washington Rd Mequon WI 53097-2416 Ph: (414) 270-4932 |
| NPI Number | 1710928221 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710928221 | NPI | - | NPPES |
| 100008370 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Mark W Niedfeldt, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10556 N Port Washington Rd, Ste 101, Mequon, WI 53092 Phone: 262-643-4720 Fax: 262-643-4721 | |
Aleksandar Rosich Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10105 Parkside Ct, Mequon, WI 53092 Phone: 414-427-7820 Fax: 414-427-3897 | |
The Sleep Wellness Institute Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13133 N Port Washington Rd, Ste 104, Mequon, WI 53097 Phone: 262-243-5044 Fax: 262-243-2510 | |
Thrivemed, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11501 N Port Washington Rd Ste G-30, Mequon, WI 53092 Phone: 262-643-4900 Fax: 262-643-4901 | |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6400 W Enterprise Dr, 1st Admin, Mequon, WI 53092 Phone: 262-512-8138 Fax: 262-512-2219 | |