| Southside Primary Care | |
|
2727 W Cleveland Ave Milwaukee WI 53215-2908 | |
| (414) 384-5420 | |
| (414) 384-0134 |
| Full Name | Southside Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2727 W Cleveland Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Carlisa Rivera-robles (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 4143845420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Primary Care 3053 W Drexel Ave Unit 121 Franklin WI 53132-7923 Ph: (414) 389-9992 | Southside Primary Care 2727 W Cleveland Ave Milwaukee WI 53215-2908 Ph: (414) 384-5420 |
| NPI Number | 1871644047 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871644047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2826033 (Wisconsin) | Primary |
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