| Pattis Medical Services, Llc | |
|
6040 W Lisbon Ave Milwaukee WI 53210-2116 | |
| (414) 447-9890 | |
| Not Available |
| Full Name | Pattis Medical Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6040 W Lisbon Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Susan E Pattis (OWNER) |
| Authorized Official Contact | 4144479890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pattis Medical Services, Llc 6040 W Lisbon Ave Milwaukee WI 53210-2116 Ph: (414) 447-9890 | Pattis Medical Services, Llc 6040 W Lisbon Ave Milwaukee WI 53210-2116 Ph: (414) 447-9890 |
| NPI Number | 1215067665 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215067665 | NPI | - | NPPES |
| 34522400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37017-020 (Wisconsin) | Primary |
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