| Shorewood Family Physicians S C | |
|
1901 E Capitol Dr Shorewood WI 53211-2335 | |
| (414) 962-7477 | |
| (414) 962-2420 |
| Full Name | Shorewood Family Physicians S C |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 E Capitol Dr, Shorewood, Wisconsin |
| Authorized Official Name and Position | Jacqueline A Petruzates (OFFICE MANAGER) |
| Authorized Official Contact | 4149627477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shorewood Family Physicians S C 1901 E Capitol Dr Shorewood WI 53211-2335 Ph: (414) 962-7477 | Shorewood Family Physicians S C 1901 E Capitol Dr Shorewood WI 53211-2335 Ph: (414) 962-7477 |
| NPI Number | 1528006277 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528006277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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