| T G Green Do Sc | |
|
13760 W Capitol Dr Brookfield WI 53005-2407 | |
| (262) 781-1530 | |
| (262) 781-7941 |
| Full Name | T G Green Do Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 13760 W Capitol Dr, Brookfield, Wisconsin |
| Authorized Official Name and Position | Theodore G Green (PHYSICIAN) |
| Authorized Official Contact | 2627811530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T G Green Do Sc 13760 W Capitol Dr Brookfield WI 53005-2407 Ph: (262) 781-1530 | T G Green Do Sc 13760 W Capitol Dr Brookfield WI 53005-2407 Ph: (262) 781-1530 |
| NPI Number | 1619279346 |
|---|---|
| Provider Enumeration Date | 12/01/2010 |
| Last Update Date | 12/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619279346 | NPI | - | NPPES |
| 30039500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16986 (Wisconsin) | Primary |
Douglas Lloyd Brown, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17160 W North Ave Ste 202, Brookfield, WI 53005 Phone: 262-797-6770 Fax: 262-797-6772 | |
Lorelle M Manion, Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 N Barker Rd, Suite 1, Brookfield, WI 53045 Phone: 262-784-3200 Fax: 262-784-8198 | |
Towne Centre Medical, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19035 W Capitol Dr, Suite 101, Brookfield, WI 53045 Phone: 262-754-1421 Fax: 262-754-3760 | |
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Elmbrook Internal Medicine Associates S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17000 W North Ave, Suite 200e, Brookfield, WI 53005 Phone: 262-782-4270 Fax: 262-784-9319 | |
Legacy Physiatry Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Executive Dr, Suite 101, Brookfield, WI 53005 Phone: 972-372-1663 | |
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