Garland W. Yarborough M.D S,c
Clinic/Center, Primary Care in Milwaukee, WI. Organization (NPI-2).
NPI number1669911277
StatusActive
Last updated in NPPESFeb 15, 2017
Details
- NPI
- 1669911277
- Entity type
- Organization (NPI-2)
- Legal business name
- Garland W. Yarborough M.D S,c
- Organization subpart
- No
- Enumeration date
- Feb 15, 2017
- Last updated
- Feb 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 23313 | WI | Yes |
| 261QM2500X | Clinic/Center, Medical Specialty | 23313 | WI |
Practice location
2500 W Layton AveSuite250
Milwaukee, WI 53221-5420
Phone 414-269-9373 · Fax 414-323-7779
Mailing address
2500 W Layton AveSuite250
Milwaukee, WI 53221-5420
Phone 414-269-9373 · Fax 414-323-7779
Authorized official
Lisa Ferra
Manager
4142071058
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