Internal Medicine Clinic Sc

NPI 1245372994 - Clinic/Center - 261QP2300X

NPI Details
NPI 1245372994
Enumeration Date 02/12/2007
Last Updated 09/20/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAN DAN
Position PRESIDENT
Phone (262) 567-0227
Fax (262) 567-0229
Practice Location
1229 ROBRUCK DR
OCONOMOWOC WI, 53066-4446, US
Phone (262) 567-0227
Fax (262) 567-0229
Business Location
1229 ROBRUCK DR
OCONOMOWOC WI, 53066-4446, US
Phone (262) 567-0227
Fax (262) 567-0229
Toxanomy
Taxonomy Code 261QP2300X
License State Wisconsin
License Number 21232
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According to our database, Internal Medicine Clinic Sc NPI is 1245372994, taxonomy code is 261QP2300X and license number is 21232, license state is located at Wisconsin. Internal Medicine Clinic Sc physically located at 1229 Robruck Dr, Oconomowoc WI, 53066-4446. NPI Number 1033115704 has the healthcare provider type.

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1245372994 NPI number is provided on an as is basis without warranty of any kind. 1245372994 is maintained by the National Plan & Provider Enumeration System. The contents of Internal Medicine Clinic Sc are for informational purposes only.