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Clinica Panamericana Llc
Point of Service in Milwaukee, Wisconsin
NPI 1003108515

Clinica Panamericana Llc is a Point of Service based in Milwaukee, WI. Clinica Panamericana Llc practices in Milwaukee, WI. The NPI Number for Clinica Panamericana Llc is 1003108515 and holds a License No. 26560-20 (Wisconsin).

The current practice location address for Clinica Panamericana Llc is 1225 W Historic Mitchell St, Milwaukee, WI and can be reached out via phone at 414-389-0166 and via fax at 414-643-1003.

Location: 1225 W Historic Mitchell St, Milwaukee, WI, 53204-3383
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003108515
Provider Name
Clinica Panamericana Llc
Credential
Provider Entity Type
Organization
Address
1225 W Historic Mitchell St, Milwaukee, WI, 53204-3383
Phone Number
414-389-0166
Fax Number
414-643-1003
Provider Enumeration Date
05/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30639900 05 WI
institution
Provider Business Practice Location Address Details
Address
1225 W Historic Mitchell St
City
Milwaukee
State
Wisconsin
Zip
53204-3383
Phone Number
414-389-0166
Fax Number
414-643-1003
person
Provider Business Mailing Address Details
Address
1225 W Historic Mitchell St
City
Milwaukee
State
Wisconsin
Zip
53204-3383
Phone Number
414-389-0166
Fax Number
414-643-1003
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
26560-20 (Wisconsin)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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