| Primary Care Of Milwaukee, S.c. | |
|
2500 W Layton Ave Suite 230 Milwaukee WI 53221-5420 | |
| (414) 305-1334 | |
| Not Available |
| Full Name | Primary Care Of Milwaukee, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 W Layton Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Constance M Ganapes (PRESIDENT) |
| Authorized Official Contact | 4143051334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of Milwaukee, S.c. 2500 W Layton Ave Suite 230 Milwaukee WI 53221-5420 Ph: () - | Primary Care Of Milwaukee, S.c. 2500 W Layton Ave Suite 230 Milwaukee WI 53221-5420 Ph: (414) 305-1334 |
| NPI Number | 1942698212 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/08/2015 |
| Medicare PECOS PAC ID | 5799001707 |
|---|---|
| Medicare Enrollment ID | O20150311000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942698212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Constance M Ganapes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063405751 PECOS PAC ID: 8921911629 Enrollment ID: I20080911000097 |
| Provider Name | James Mazzulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437144946 PECOS PAC ID: 6305759085 Enrollment ID: I20080926000540 |
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