| Richard London, M.d., L.l.c. | |
|
5000 W Chambers St Milwaukee WI 53210-1650 | |
| (414) 375-9040 | |
| (815) 301-9747 |
| Full Name | Richard London, M.d., L.l.c. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 5000 W Chambers St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Richard L London (SOLE MEMBER) |
| Authorized Official Contact | 4143759040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard London, M.d., L.l.c. Po Box 170168 Milwaukee WI 53217-8016 Ph: (414) 375-9040 | Richard London, M.d., L.l.c. 5000 W Chambers St Milwaukee WI 53210-1650 Ph: (414) 375-9040 |
| NPI Number | 1558795914 |
|---|---|
| Provider Enumeration Date | 08/21/2013 |
| Last Update Date | 08/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558795914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 26420 (Wisconsin) | Primary |
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