| Compassionate Doctors Inc | |
|
10625 W North Ave #230 Wauwatosa WI 53226-2315 | |
| (414) 475-5800 | |
| (414) 475-5825 |
| Full Name | Compassionate Doctors Inc |
|---|---|
| Speciality | General Practice |
| Location | 10625 W North Ave, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Abdullattief A Sulieman (PRESIDENT/OWNER) |
| Authorized Official Contact | 4144755800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Doctors Inc 216 Green Bay Rd #101 Thiensville WI 53092-1658 Ph: (414) 247-9005 | Compassionate Doctors Inc 10625 W North Ave #230 Wauwatosa WI 53226-2315 Ph: (414) 475-5800 |
| NPI Number | 1427380450 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 02/01/2010 |
| Medicare PECOS PAC ID | 4486783107 |
|---|---|
| Medicare Enrollment ID | O20100518000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427380450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 51008-20 (Wisconsin) | Primary |
| Provider Name | Abdullattief A Sulieman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881864197 PECOS PAC ID: 4981775780 Enrollment ID: I20080623000420 |
| Provider Name | James A Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083777635 PECOS PAC ID: 9032336334 Enrollment ID: I20140811000809 |
| Provider Name | Traci R Fritz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104090265 PECOS PAC ID: 5092018309 Enrollment ID: I20160120002099 |
| Provider Name | Terance Chi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225367402 PECOS PAC ID: 4688917057 Enrollment ID: I20190528002667 |
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