| Paddock Lake Family Practice, Sc | |
|
7137 236th Ave Suite 103 Salem WI 53168-9664 | |
| (262) 843-4422 | |
| (262) 843-1166 |
| Full Name | Paddock Lake Family Practice, Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 7137 236th Ave, Salem, Wisconsin |
| Authorized Official Name and Position | Lisa M Thomas (BILLING MANAGER) |
| Authorized Official Contact | 2628432394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paddock Lake Family Practice, Sc 7137 236th Ave Suite 103 Salem WI 53168-9664 Ph: (262) 843-4422 | Paddock Lake Family Practice, Sc 7137 236th Ave Suite 103 Salem WI 53168-9664 Ph: (262) 843-4422 |
| NPI Number | 1417919275 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417919275 | NPI | - | NPPES |
| DD7478 | Other | RAIL ROAD MEDICARE | |
| 21291800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
James M. Bury, Md, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7137 236th Ave Ste 103, Salem, WI 53168 Phone: 262-843-4422 Fax: 262-843-1166 | |
Smith Chiropractic Office S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22230 75th St, Salem, WI 53168 Phone: 262-843-3013 Fax: 262-843-2427 | |
Snf Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7137 236th Ave Ste 103, Salem, WI 53168 Phone: 262-843-4422 Fax: 262-843-1166 | |
Capelli Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7137 236th Ave, Suite 103, Salem, WI 53168 Phone: 262-496-5602 Fax: 262-843-1166 |