| Doctory360 Sc | |
|
7235 W Appleton Ave Milwaukee WI 53216-1932 | |
| (414) 455-3738 | |
| Not Available |
| Full Name | Doctory360 Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7235 W Appleton Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Adnan Nazir (OWNER) |
| Authorized Official Contact | 4144553738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctory360 Sc 7235 W Appleton Ave Milwaukee WI 53216-1932 Ph: (414) 455-3738 | Doctory360 Sc 7235 W Appleton Ave Milwaukee WI 53216-1932 Ph: (414) 455-3738 |
| NPI Number | 1346823390 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Medicare PECOS PAC ID | 1052719044 |
|---|---|
| Medicare Enrollment ID | O20211005002760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346823390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Adnan Nazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750361267 PECOS PAC ID: 5890742381 Enrollment ID: I20050406001024 |
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