institution
Family Practice Clinic Of Mayfair Sc
General Practice Physician in Wauwatosa, Wisconsin
NPI 1295810208

Family Practice Clinic Of Mayfair Sc is a General Practice Physician based in Wauwatosa, WI. Family Practice Clinic Of Mayfair Sc practices in Wauwatosa, WI. The NPI Number for Family Practice Clinic Of Mayfair Sc is 1295810208 and holds a License No. (Wisconsin).

The current practice location address for Family Practice Clinic Of Mayfair Sc is 11803 W North Ave, Wauwatosa, WI and can be reached out via phone at 414-258-5522 and via fax at 414-258-1337.

Location: 11803 W North Ave, Wauwatosa, WI, 53226
institution
Provider Profile Details
NPI Number
1295810208
Provider Name
Family Practice Clinic Of Mayfair Sc
Credential
Provider Entity Type
Organization
Address
11803 W North Ave, Wauwatosa, WI, 53226
Phone Number
414-258-5522
Fax Number
414-258-1337
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30074100 05 WI
institution
Provider Business Practice Location Address Details
Address
11803 W North Ave
City
State
Zip
53226
Phone Number
414-258-5522
Fax Number
414-258-1337
person
Provider Business Mailing Address Details
Address
11803 W North Ave
City
State
Zip
53226
Phone Number
414-258-5522
Fax Number
414-258-1337
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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