| St George Clinics, Llc | |
|
308 E Main St Waterford WI 53185-4306 | |
| (262) 923-3777 | |
| Not Available |
| Full Name | St George Clinics, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 308 E Main St, Waterford, Wisconsin |
| Authorized Official Name and Position | Tatjana Stevanovic (ADULT NURSE PRACTIONER) |
| Authorized Official Contact | 2629233777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St George Clinics, Llc 308 E Main St Waterford WI 53185-4306 Ph: (262) 923-3777 | St George Clinics, Llc 308 E Main St Waterford WI 53185-4306 Ph: (262) 923-3777 |
| NPI Number | 1194216416 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 11/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194216416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 52D1037628 (Wisconsin) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Mustansir Majeed Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 | |
Prohealth Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 Cornerstone Crossing, Waterford, WI 53185 Phone: 262-928-1977 | |
Randall Schmidt Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 |