| In-your-home Medicine & Geriatrics | |
|
3915 N Ridgefield Cir Shorewood WI 53211-2451 | |
| (414) 795-6480 | |
| Not Available |
| Full Name | In-your-home Medicine & Geriatrics |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3915 N Ridgefield Cir, Shorewood, Wisconsin |
| Authorized Official Name and Position | Shawn Douglas Antle (PRESIDENT) |
| Authorized Official Contact | 4147956480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In-your-home Medicine & Geriatrics Po Box 11544 Shorewood WI 53211-0544 Ph: (414) 795-6480 | In-your-home Medicine & Geriatrics 3915 N Ridgefield Cir Shorewood WI 53211-2451 Ph: (414) 795-6480 |
| NPI Number | 1831200781 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831200781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 46666 (Wisconsin) | Primary |
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