| Medzone LLC | |
|
1919 W North Ave Ste 150 Milwaukee WI 53205-1101 | |
| (414) 395-0009 | |
| Not Available |
| Full Name | Medzone LLC |
|---|---|
| Speciality | General Practice |
| Location | 1919 W North Ave Ste 150, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Marwan Aly (OWNER) |
| Authorized Official Contact | 4143950009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medzone LLC 1919 W North Ave Ste 150 Milwaukee WI 53205-1101 Ph: (414) 395-0009 | Medzone LLC 1919 W North Ave Ste 150 Milwaukee WI 53205-1101 Ph: (414) 395-0009 |
| NPI Number | 1003569328 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 06/29/2026 |
| Certification Date | 06/29/2026 |
| Medicare PECOS PAC ID | 9830687144 |
|---|---|
| Medicare Enrollment ID | O20251020000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003569328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Marwan M Aly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609124189 PECOS PAC ID: 3779707831 Enrollment ID: I20140610002072 |
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