| Cudahy Physician Associates | |
|
1238 S Cesar E Chavez Dr Milwaukee WI 53204-2267 | |
| (414) 645-6665 | |
| (414) 645-6732 |
| Full Name | Cudahy Physician Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 1238 S Cesar E Chavez Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Leonardo Aponte (PRESIDENT) |
| Authorized Official Contact | 4146456665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cudahy Physician Associates 6400 Industrial Loop Greendale WI 53129-2452 Ph: (414) 423-4100 | Cudahy Physician Associates 1238 S Cesar E Chavez Dr Milwaukee WI 53204-2267 Ph: (414) 645-6665 |
| NPI Number | 1518940543 |
|---|---|
| Provider Enumeration Date | 11/23/2005 |
| Last Update Date | 08/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518940543 | NPI | - | NPPES |
| 52D0692638 | Other | WI | CLIA |
| 32740300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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