| Premier Pediatrics Wisconsin Llc | |
|
2607 N Grandview Blvd Ste 104 Waukesha WI 53188-1690 | |
| (262) 217-0939 | |
| Not Available |
| Full Name | Premier Pediatrics Wisconsin Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2607 N Grandview Blvd Ste 104, Waukesha, Wisconsin |
| Authorized Official Name and Position | Elizabeth Kurowski (OWNER) |
| Authorized Official Contact | 5154192975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Pediatrics Wisconsin Llc 2607 N Grandview Blvd Ste 104 Waukesha WI 53188-1690 Ph: (262) 217-0939 | Premier Pediatrics Wisconsin Llc 2607 N Grandview Blvd Ste 104 Waukesha WI 53188-1690 Ph: (262) 217-0939 |
| NPI Number | 1730984774 |
|---|---|
| Provider Enumeration Date | 02/14/2025 |
| Last Update Date | 02/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730984774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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