DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREAT LAKES FAMILY MEDICAL CENTER INC

Active Organization

GREAT LAKES FAMILY MEDICAL CENTER INC is a Clinic/Center organization located in KENOSHA, Wisconsin. NPI 1093900136 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · KENOSHA, WI

Registration Details

NPI Number
1093900136
Provider Type
Organization
NPI Issued
Sep 12, 2007 (18.931265321954 yrs)
Last Updated
Aug 26, 2010
License
45606020 (WI)

Practice Information

Address
6123 GREEN BAY RD
SUITE 120
KENOSHA, WI, 531422927
Browse WI providers · Browse ZIP 53142
Phone
2627644390
Fax
2627644396
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Organizations in KENOSHA, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.