North Avenue Family Medical Center
Clinic/Center, Primary Care in Milwaukee, WI. Organization (NPI-2).
NPI number1942437009
StatusActive
Last updated in NPPESDec 23, 2009
Details
- NPI
- 1942437009
- Entity type
- Organization (NPI-2)
- Legal business name
- North Avenue Family Medical Center
- Organization subpart
- No
- Enumeration date
- Jun 16, 2009
- Last updated
- Dec 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1134 W North AveMilwaukee, WI 53205-1333
Phone 414-374-9575 · Fax 414-374-9580
Mailing address
1134 W North AveMilwaukee, WI 53205-1333
Phone 414-374-9575 · Fax 414-374-9580
Authorized official
Abalo Nunyakpe
Medical Director
4143749575
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