| Agpoon Medical Clinic, S.c. | |
|
1859 E Moreland Blvd Waukesha WI 53186-3915 | |
| (262) 544-9680 | |
| (262) 544-1659 |
| Full Name | Agpoon Medical Clinic, S.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1859 E Moreland Blvd, Waukesha, Wisconsin |
| Authorized Official Name and Position | Jose S. Agpoon (PRESIDENT) |
| Authorized Official Contact | 2625449680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agpoon Medical Clinic, S.c. 1859 E Moreland Blvd Waukesha WI 53186-3915 Ph: (262) 544-9680 | Agpoon Medical Clinic, S.c. 1859 E Moreland Blvd Waukesha WI 53186-3915 Ph: (262) 544-9680 |
| NPI Number | 1841243839 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841243839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 18704 (Wisconsin) | Primary |
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