| Martin Men's Medical Clinic Of Wisconsin | |
|
2949 N Mayfair Rd Ste 300 Wauwatosa WI 53222-4304 | |
| (414) 454-6000 | |
| (414) 454-6420 |
| Full Name | Martin Men's Medical Clinic Of Wisconsin |
|---|---|
| Speciality | Clinic/center |
| Location | 2949 N Mayfair Rd Ste 300, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | David Moeller (CLINIC DIRECTOR) |
| Authorized Official Contact | 4144546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Men's Medical Clinic Of Wisconsin 2949 N Mayfair Rd Ste 300 Wauwatosa WI 53222-4304 Ph: (414) 454-6000 | Martin Men's Medical Clinic Of Wisconsin 2949 N Mayfair Rd Ste 300 Wauwatosa WI 53222-4304 Ph: (414) 454-6000 |
| NPI Number | 1184958209 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 09/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184958209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20798-020 (Wisconsin) | Primary |
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