| Eagle Medical Center | |
|
1111 Delafield Street Ste 218 Waukesha WI 53188-3403 | |
| (262) 574-9093 | |
| (262) 542-2803 |
| Full Name | Eagle Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Delafield Street, Waukesha, Wisconsin |
| Authorized Official Name and Position | Harinder S Gill (PARTNER) |
| Authorized Official Contact | 2625420074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Medical Center 1111 Delafield Street Suite 218 Waukesha WI 53188-3403 Ph: (262) 574-9093 | Eagle Medical Center 1111 Delafield Street Ste 218 Waukesha WI 53188-3403 Ph: (262) 574-9093 |
| NPI Number | 1255367454 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 12/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255367454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Secondary |
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