| La Clinica Latina Llc | |
|
1238 S Cesar E Chavez Dr Milwaukee WI 53204-2267 | |
| (414) 645-6666 | |
| (414) 645-6732 |
| Full Name | La Clinica Latina Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1238 S Cesar E Chavez Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Nedal Mejalli (REGISTERED AGENT) |
| Authorized Official Contact | 4146456665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica Latina Llc Po Box 639 Thiensville WI 53092-0639 Ph: (414) 645-6665 | La Clinica Latina Llc 1238 S Cesar E Chavez Dr Milwaukee WI 53204-2267 Ph: (414) 645-6666 |
| NPI Number | 1003433830 |
|---|---|
| Provider Enumeration Date | 06/27/2020 |
| Last Update Date | 06/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003433830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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