| The Private Clinic | |
|
10501 W Research Drive Suite G200 Milwaukee WI 53226 | |
| (262) 442-3912 | |
| (414) 302-1040 |
| Full Name | The Private Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 10501 W Research Drive, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Ania A Person (PRESIDENT) |
| Authorized Official Contact | 2624423912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Private Clinic 10501 W Research Drive Suite G200 Milwaukee WI 53226 Ph: (262) 442-3912 | The Private Clinic 10501 W Research Drive Suite G200 Milwaukee WI 53226 Ph: (262) 442-3912 |
| NPI Number | 1487438875 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487438875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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