| Appleton Clinic Llc | |
|
9205 W Center St Ste 203 Milwaukee WI 53222-4548 | |
| (920) 315-8443 | |
| Not Available |
| Full Name | Appleton Clinic Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9205 W Center St Ste 203, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Cheong Wai Chan (OWNER) |
| Authorized Official Contact | 9203158443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appleton Clinic Llc 9205 W Center St Ste 203 Milwaukee WI 53222-4548 Ph: (920) 315-8443 | Appleton Clinic Llc 9205 W Center St Ste 203 Milwaukee WI 53222-4548 Ph: (920) 315-8443 |
| NPI Number | 1225885098 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Medicare PECOS PAC ID | 7810431491 |
|---|---|
| Medicare Enrollment ID | O20240708001420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225885098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Cheong W Chan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922395623 PECOS PAC ID: 5890002745 Enrollment ID: I20150910000373 |
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