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

SOUTHEASTERN FAMILY PRACTICE SC

Active Organization

SOUTHEASTERN FAMILY PRACTICE SC is a Adolescent Medicine (Pediatrics) organization located in MILWAUKEE, Wisconsin. NPI 1134303621 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · MILWAUKEE, WI

Registration Details

NPI Number
1134303621
Provider Type
Organization
NPI Issued
Dec 20, 2007 (18.678644318798 yrs)
Last Updated
Dec 20, 2007
Licenses
48505 (WI)
26529 (WI)

Practice Information

Address
1308 S 16TH ST
MILWAUKEE, WI, 532042711
Browse WI providers · Browse ZIP 53204
Phone
4148310100
Fax
4148311584
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X
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.