| Numale Medical Center Llc | |
|
2600 N Mayfair Rd Suite 505 Wauwatosa WI 53226-1309 | |
| (414) 727-8380 | |
| (414) 727-8555 |
| Full Name | Numale Medical Center Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2600 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Brad Palubicki (PRESIDENT) |
| Authorized Official Contact | 4142920450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Numale Medical Center Llc 2600 N Mayfair Rd Suite 505 Wauwatosa WI 53226-1309 Ph: (414) 727-8380 | Numale Medical Center Llc 2600 N Mayfair Rd Suite 505 Wauwatosa WI 53226-1309 Ph: (414) 727-8380 |
| NPI Number | 1275978983 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 05/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275978983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 49753-20 (Wisconsin) | Primary |
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