| Greendale Medical Clinic, S.c. | |
|
6601 Northway # D Greendale WI 53129-1830 | |
| (414) 423-0555 | |
| (414) 423-8268 |
| Full Name | Greendale Medical Clinic, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6601 Northway # D, Greendale, Wisconsin |
| Authorized Official Name and Position | Marty Lubing (OFFICE MANAGER) |
| Authorized Official Contact | 4144230555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greendale Medical Clinic, S.c. 6601 Northway # D Greendale WI 53129-1830 Ph: (414) 423-0555 | Greendale Medical Clinic, S.c. 6601 Northway # D Greendale WI 53129-1830 Ph: (414) 423-0555 |
| NPI Number | 1023119666 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023119666 | NPI | - | NPPES |
| 32688400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Visiting Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7978 Fielding Ln, Greendale, WI 53129 Phone: 414-423-7199 Fax: 414-423-7366 |