| Lake Country Private Medical, S.c. | |
|
1185 Corporate Center Dr Ste 300 Oconomowoc WI 53066-4887 | |
| (262) 567-5190 | |
| (262) 567-5259 |
| Full Name | Lake Country Private Medical, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1185 Corporate Center Dr Ste 300, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | Patrick T Fitzgerald (OWNER) |
| Authorized Official Contact | 2625675190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Country Private Medical, S.c. 1185 Corporate Center Dr Ste 300 Oconomowoc WI 53066-4887 Ph: (262) 567-5190 | Lake Country Private Medical, S.c. 1185 Corporate Center Dr Ste 300 Oconomowoc WI 53066-4887 Ph: (262) 567-5190 |
| NPI Number | 1720351919 |
|---|---|
| Provider Enumeration Date | 02/17/2012 |
| Last Update Date | 05/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720351919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 48412 (Wisconsin) | Primary |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 966 Blue Ribbon Cir N, Oconomowoc, WI 53066 Phone: 262-977-7211 Fax: 262-567-7435 | |
Rogers Behavioral Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 262-646-4411 Fax: 262-646-3158 | |
Internal Medicine Clinic Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Robruck Dr, Oconomowoc, WI 53066 Phone: 262-567-0227 Fax: 262-567-0229 | |
Prohealth Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Summit Ave, Oconomowoc, WI 53066 Phone: 262-567-0223 Fax: 262-567-6380 | |
Prohealth Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 W Wisconsin Ave, Suite 1002, Oconomowoc, WI 53066 Phone: 262-560-2300 | |
Midwest Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Pabst Farms Cir, Suite 340a, Oconomowoc, WI 53066 Phone: 262-200-2700 | |
James M. Powell Dc,sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1185 Corporate Center Dr, Oconomowoc, WI 53066 Phone: 262-928-8411 |