| Lincoln Health Center | |
|
573 W Lincoln Ave Milwaukee WI 53207-1141 | |
| (414) 385-9801 | |
| (414) 385-9803 |
| Full Name | Lincoln Health Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 573 W Lincoln Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Michael Glenn Olaciregui (OWNER/DOCTOR) |
| Authorized Official Contact | 4143859801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Health Center Po Box 11430 Milwaukee WI 53211-0430 Ph: (414) 962-9070 | Lincoln Health Center 573 W Lincoln Ave Milwaukee WI 53207-1141 Ph: (414) 385-9801 |
| NPI Number | 1376640342 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376640342 | NPI | - | NPPES |
| 21285500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42851-020 (Wisconsin) | Primary |
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