SOUTHEASTERN FAMILY PRACTICE SC

Pediatrics - Adolescent Medicine

Active Organization
NPI: 1134303621

Practice Address

1308 S 16TH ST
Milwaukee, WI 53204

Phone: (414) 831-0100

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No 48505 (WI)
Pediatrics - Adolescent Medicine 2080A0000X Yes 26529 (WI)

Frequently Asked Questions

NPI 1134303621 is the National Provider Identifier for SOUTHEASTERN FAMILY PRACTICE SC, a Pediatrics - Adolescent Medicine provider located in Milwaukee, WI. This NPI was enumerated on December 20, 2007.

Quick Facts

NPI
1134303621
Type
Organization
Enumerated
Dec 20, 2007
Last Updated
Dec 20, 2007

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