| Lakeside Clinic | |
|
833 Pennsylvania Ave Suite 103 Sheboygan WI 53081-4452 | |
| (920) 458-9434 | |
| (920) 458-6313 |
| Full Name | Lakeside Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 833 Pennsylvania Ave, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Vincent A Graser (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9204589434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Clinic 833 Pennsylvania Ave. Po Box 1143 Sheboygan WI 53082-1143 Ph: (920) 458-9434 | Lakeside Clinic 833 Pennsylvania Ave Suite 103 Sheboygan WI 53081-4452 Ph: (920) 458-9434 |
| NPI Number | 1740365378 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740365378 | NPI | - | NPPES |
| 42126500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1501 (Wisconsin) | Primary |
Marsho Family Medical Group, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-451-3214 | |
Aurora Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2307 S Business Dr, Sheboygan, WI 53081 Phone: 920-459-1134 | |
Lakeshore Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1721 Saemann Avenue, Sheboygan, WI 53081 Phone: 920-783-6633 Fax: 920-783-6392 | |
Aurora Sheboygan Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Lakeshore Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S. 8th Street, Sheboygan, WI 53081 Phone: 920-783-6633 Fax: 920-783-6392 | |
Aurora Health Care Central, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5000 | |
Prevea Sheboygan Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1621 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-458-4419 |