institution
Family Medicine & Surgery Llc
General Practice Physician in East Troy, Wisconsin
NPI 1922305077

Family Medicine & Surgery Llc is a General Practice Physician based in East Troy, WI. Family Medicine & Surgery Llc practices in East Troy, WI. The NPI Number for Family Medicine & Surgery Llc is 1922305077 and holds a License No. 26462 (Wisconsin).

The current practice location address for Family Medicine & Surgery Llc is 3066 Main St, East Troy, WI and can be reached out via phone at 262-642-7313 and via fax at 262-642-4251.

Location: 3066 Main St, East Troy, WI, 53120-1148
institution
Provider Profile Details
NPI Number
1922305077
Provider Name
Family Medicine & Surgery Llc
Credential
Provider Entity Type
Organization
Address
3066 Main St, East Troy, WI, 53120-1148
Phone Number
262-642-7313
Fax Number
262-642-4251
Provider Enumeration Date
02/24/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1508062043 01 WI TYPE 1 NPI
30100300 05 WI
26462 01 WI STATE OF WISCONSIN LICENSE
80591 01 WI MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
3066 Main St
City
State
Zip
53120-1148
Phone Number
262-642-7313
Fax Number
262-642-4251
person
Provider Business Mailing Address Details
Address
3066 Main St
City
State
Zip
53120-1148
Phone Number
262-642-7313
Fax Number
262-642-4251
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
26462 (Wisconsin)
Definition
Definition to come...
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