Wisconsin Avenue Medical Clinic, SC
Wisconsin Avenue Medical Clinic, SC provides Family Medicine Physician services in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
3505 W Wisconsin AveMilwaukee, WI 53208-3847
Phone: (414) 344-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 45129 (WI) |
|---|
Record details
| NPI number | 1578510798 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Srinivas Bramhadevi — President/Owner · (262) 352-2187 |
| NPI enumerated | May 31, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1020 E Amber Ln, Oak Creek, WI 53154-3349 |
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