| North Shore Internal Medicine Specialist, Sc | |
|
140 S Main St Thiensville WI 53092-1956 | |
| (262) 242-3369 | |
| (262) 242-3219 |
| Full Name | North Shore Internal Medicine Specialist, Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 140 S Main St, Thiensville, Wisconsin |
| Authorized Official Name and Position | Mehran Edalatpour (PRESIDENT) |
| Authorized Official Contact | 2622423369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Internal Medicine Specialist, Sc 6400 Industrial Loop Greendale WI 53129-2452 Ph: (414) 423-4100 | North Shore Internal Medicine Specialist, Sc 140 S Main St Thiensville WI 53092-1956 Ph: (262) 242-3369 |
| NPI Number | 1669642997 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669642997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
Ozaukee Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N Main St, Thiensville, WI 53092 Phone: 262-242-3000 Fax: 262-242-7191 | |
Interpedia, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 216 Green Bay Rd Ste 109, Thiensville, WI 53092 Phone: 262-241-5414 Fax: 262-672-4046 | |
Thiensville Family Health Care Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 S Main St, Thiensville, WI 53092 Phone: 262-242-3369 Fax: 262-242-3219 | |
Orthotic Wi Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Green Bay Rd, Thiensville, WI 53092 Phone: 414-764-9550 Fax: 414-435-3110 |