| Baylon Family Physicians, Ltd. | |
|
756 N 35th St Suite 101 Milwaukee WI 53208-3360 | |
| (414) 342-2511 | |
| (414) 342-2209 |
| Full Name | Baylon Family Physicians, Ltd. |
|---|---|
| Speciality | Pediatrics |
| Location | 756 N 35th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Joselito Baylon (PRESIDENT) |
| Authorized Official Contact | 2623529081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baylon Family Physicians, Ltd. 2425 N 128th St Brookfield WI 53005-5233 Ph: (262) 352-9081 | Baylon Family Physicians, Ltd. 756 N 35th St Suite 101 Milwaukee WI 53208-3360 Ph: (414) 342-2511 |
| NPI Number | 1346257185 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1658320122 |
|---|---|
| Medicare Enrollment ID | O20050121000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346257185 | NPI | - | NPPES |
| 21286700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36046 (Wisconsin) | Primary |
| 208000000X | Pediatrics | 33957 (Wisconsin) | Primary |
| Provider Name | Joselito A Baylon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467469296 PECOS PAC ID: 9638128101 Enrollment ID: I20050122000081 |
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