| Lakeshore Medical Clinic Ltd | |
|
1100 Milwaukee Ave South Milwaukee WI 53172-2013 | |
| (414) 764-4003 | |
| Not Available |
| Full Name | Lakeshore Medical Clinic Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 Milwaukee Ave, South Milwaukee, Wisconsin |
| Authorized Official Name and Position | Masood Wasiullah (PRESIDENT) |
| Authorized Official Contact | 4147446589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Medical Clinic Ltd 100 15th Ave South Milwaukee WI 53172-1160 Ph: (414) 764-3241 | Lakeshore Medical Clinic Ltd 1100 Milwaukee Ave South Milwaukee WI 53172-2013 Ph: (414) 764-4003 |
| NPI Number | 1174851893 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 04/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174851893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gaps Health Wi Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3821 S Chicago Ave, South Milwaukee, WI 53172 Phone: 248-470-9509 | |
Wheaton Franciscan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 Milwaukee Ave, South Milwaukee, WI 53172 Phone: 414-762-2120 Fax: 414-762-7633 | |
Royal Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 S Chicago Ave, South Milwaukee, WI 53172 Phone: 414-570-5410 |