| Wisconsin Avenue Medical Clinic,s.c. | |
|
3505 W Wisconsin Ave Milwaukee WI 53208-3847 | |
| (414) 344-0400 | |
| Not Available |
| Full Name | Wisconsin Avenue Medical Clinic,s.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 3505 W Wisconsin Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Srinivas R Bramhadevi (PRESIDENT/OWNER) |
| Authorized Official Contact | 2623522187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Avenue Medical Clinic,s.c. 1020 E Amber Ln Oak Creek WI 53154-3349 Ph: (414) 764-2024 | Wisconsin Avenue Medical Clinic,s.c. 3505 W Wisconsin Ave Milwaukee WI 53208-3847 Ph: (414) 344-0400 |
| NPI Number | 1578510798 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578510798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 45129 (Wisconsin) | Primary |
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