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Concordia University, Inc
General Practice Physician in Mequon, Wisconsin
NPI 1518439843

Concordia University, Inc is a General Practice Physician based in Dallas, WI. Concordia University, Inc practices in Mequon, WI. The NPI Number for Concordia University, Inc is 1518439843 and holds a License No. (Wisconsin).

The current practice location address for Concordia University, Inc is 12800 N Lake Shore Dr, Mequon, WI and can be reached out via phone at 972-367-4845.

Location: 12800 N Lake Shore Dr, Mequon, WI, 75244-3995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518439843
Provider Name
Concordia University, Inc
Credential
Provider Entity Type
Organization
Address
12800 N Lake Shore Dr, Mequon, WI, 75244-3995
Phone Number
972-367-4845
Fax Number
Provider Enumeration Date
12/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12800 N Lake Shore Dr
City
Mequon
State
Wisconsin
Zip
53097-2418
Phone Number
972-367-4845
Fax Number
person
Provider Business Mailing Address Details
Address
12800 N Lake Shore Dr
City
Mequon
State
Wisconsin
Zip
53097-2418
Phone Number
972-367-4845
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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