| Lmc Bucyrus Medical | |
|
1100 Milwaukee Ave South Milwaukee WI 53172-2013 | |
| (414) 764-4003 | |
| Not Available |
| Full Name | Lmc Bucyrus Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 Milwaukee Ave, South Milwaukee, Wisconsin |
| Authorized Official Name and Position | Masood Wasiullah (PRESIDENT) |
| Authorized Official Contact | 4147446589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmc Bucyrus Medical 100 15th Ave South Milwaukee WI 53172-1160 Ph: (414) 764-3241 | Lmc Bucyrus Medical 1100 Milwaukee Ave South Milwaukee WI 53172-2013 Ph: (414) 764-4003 |
| NPI Number | 1174851893 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 04/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174851893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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