| Southeastern Pediatric & Adolescent Medicine | |
|
8532 W Capitol Dr Milwaukee WI 53222-1827 | |
| (414) 463-6640 | |
| (414) 463-6743 |
| Full Name | Southeastern Pediatric & Adolescent Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8532 W Capitol Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Noemi A Prieto (PRESIDENT) |
| Authorized Official Contact | 4144636640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Pediatric & Adolescent Medicine 1126 S. 70th St N500 Milwaukee WI 53214 Ph: (414) 455-4780 | Southeastern Pediatric & Adolescent Medicine 8532 W Capitol Dr Milwaukee WI 53222-1827 Ph: (414) 463-6640 |
| NPI Number | 1447365614 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 07/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447365614 | NPI | - | NPPES |
| 31529500 | Medicaid | WI | |
| 32466900 | Medicaid | WI | |
| 34437400 | Medicaid | WI | |
| 30718400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 26529 (Wisconsin) | Primary |
Community Based Residential Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3910 W Burleigh St, Milwaukee, WI 53210 Phone: 414-445-3607 Fax: 414-445-6575 | |
Healing Center Of Milwaukee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 W Forest Home Ave, Milwaukee, WI 53220 Phone: 414-323-3513 | |
Muhammad Akbar Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-365-3210 Fax: 414-365-3225 | |
La Clinica Latina Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-645-6666 Fax: 414-645-6732 | |
Medzone Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7115 W Capitol Dr, Milwaukee, WI 53216 Phone: 414-395-0009 | |
Jeremias B. Vinluan M.d. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 N 35th St, Suite 204, Milwaukee, WI 53208 Phone: 414-342-2606 Fax: 414-342-0789 | |
Romeo C Lo Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 Phone: 414-383-4700 Fax: 414-383-4759 |