Southeastern Family Practice Sc in Milwaukee - Internal Medicine

Southeastern Family Practice Sc - NPI 1134303621

Southeastern Family Practice Sc is a Internal Medicine in Milwaukee, Wisconsin. Southeastern Family Practice Sc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Southeastern Family Practice Sc is 1134303621. The last update date is 2007-12-20.

Southeastern Family Practice Sc's current location address is 1308 S 16th St, Milwaukee, Wisconsin. You can contact this provider via phone number 4148310100 and fax number 4148311584. The mailing address for Southeastern Family Practice Sc is 1308 S 16th St, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southeastern Family Practice Sc
Address 1308 S 16th St, Milwaukee, Wisconsin
Phone Number 4148310100
Fax Number 4148311584
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Prieto A Noemi
Credentials MD
Telephone Number 4144636640

NPI Number Detail

NPI Number 1134303621
Provider Enumeration Date 2007-12-20
Last Updated Date 2007-12-20

Provider Mailing Address Detail

Address 1308 S 16th St
City Milwaukee
State Wisconsin (WI)
Post Code 532042711
Phone Number 4148310100
Fax Number 4148311584

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 48505
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30718400 WI --

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FAQs about Southeastern Family Practice Sc

What is the unique 10-digit identification code issued to Southeastern Family Practice Sc by the Centers for Medicare & Medicaid Services?

The Southeastern Family Practice Sc has been assigned the NPI (National Provider Identifier) 1134303621 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Southeastern Family Practice Sc is physically located?

The Southeastern Family Practice Sc is situated at the following address: 1308 S 16Th St, Milwaukee, WI 532042711.

What is Southeastern Family Practice Sc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Southeastern Family Practice Sc is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the Southeastern Family Practice Sc receive its 1134303621 assignment from the Centers for Medicare & Medicaid Services?

The Southeastern Family Practice Sc was assigned its 1134303621 by the Centers for Medicare & Medicaid Services on 2007-12-20.

When was the information regarding Southeastern Family Practice Sc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Southeastern Family Practice Sc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-20.

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