| Visiting Medical Associates | |
|
7978 Fielding Ln Greendale WI 53129-2112 | |
| (414) 423-7199 | |
| (414) 423-7366 |
| Full Name | Visiting Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 7978 Fielding Ln, Greendale, Wisconsin |
| Authorized Official Name and Position | Anil Kumar Garg (OWNER) |
| Authorized Official Contact | 4142221475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Medical Associates 6400 Industrial Loop Greendale WI 53129-2452 Ph: (414) 423-4100 | Visiting Medical Associates 7978 Fielding Ln Greendale WI 53129-2112 Ph: (414) 423-7199 |
| NPI Number | 1083954630 |
|---|---|
| Provider Enumeration Date | 02/19/2013 |
| Last Update Date | 07/01/2016 |
| Medicare PECOS PAC ID | 6305082033 |
|---|---|
| Medicare Enrollment ID | O20130424000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083954630 | NPI | - | NPPES |
| 1083954630 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Greendale Medical Clinic, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6601 Northway # D, Greendale, WI 53129 Phone: 414-423-0555 Fax: 414-423-8268 |