| Mea-aea Kenosha Sc | |
|
10400 75th St Kenosha WI 53142-7884 | |
| (262) 948-5640 | |
| (440) 842-8835 |
| Full Name | Mea-aea Kenosha Sc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 10400 75th St, Kenosha, Wisconsin |
| Authorized Official Name and Position | Stephen Holtzclaw (PRESIDENT) |
| Authorized Official Contact | 4408874718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mea-aea Kenosha Sc Po Box 637562 Mea-aea Kenosh Sc Cincinnati OH 45263-0001 Ph: (440) 887-4718 | Mea-aea Kenosha Sc 10400 75th St Kenosha WI 53142-7884 Ph: (262) 948-5640 |
| NPI Number | 1477546737 |
|---|---|
| Provider Enumeration Date | 08/23/2005 |
| Last Update Date | 02/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477546737 | NPI | - | NPPES |
| 21262900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
Steven Schwimmer, Do Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5455 Sheridan Rd, 201, Kenosha, WI 53140 Phone: 262-654-2500 Fax: 252-654-2701 | |
Leilane U Sta Romana Mdsc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3734 7th Ave, Dominican Building Suite 15, Kenosha, WI 53140 Phone: 262-658-3706 | |
Genesis Medical Center Of Kenosha, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 35th St, Kenosha, WI 53140 Phone: 262-652-3500 Fax: 262-925-8353 | |
Great Lakes Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-764-4390 Fax: 262-764-4396 | |
Gevinah Healthcare Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3100 Washington Rd, Kenosha, WI 53144 Phone: 310-933-5688 | |
Biji Joseph Md S C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6935 70th Ct Unit 106, Kenosha, WI 53142 Phone: 262-344-4803 | |
Regina Capelli-scheidt M.d,s.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave, Kenosha, WI 53144 Phone: 262-658-8862 Fax: 262-658-8874 |