| Wisconsin Medical Group | |
|
8800 W Lincoln Ave West Allis WI 53227-2400 | |
| (262) 339-9797 | |
| Not Available |
| Full Name | Wisconsin Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 8800 W Lincoln Ave, West Allis, Wisconsin |
| Authorized Official Name and Position | Haley Kehoe (OWNER) |
| Authorized Official Contact | 2623399797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Medical Group 14295 Woodmount Dr Brookfield WI 53005-2390 Ph: (262) 339-9797 | Wisconsin Medical Group 8800 W Lincoln Ave West Allis WI 53227-2400 Ph: (262) 339-9797 |
| NPI Number | 1326599945 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326599945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5440321 (Wisconsin) | Primary |
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