Provider Type Icon

MILWAUKEE INDONESIA MEDICAL CLINIC NPI 1366814162


NPI Information

NPI: 1366814162
Provider Name: MILWAUKEE INDONESIA MEDICAL CLINIC

Doing Business As: INDONESIA MEDICAL CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
6300 N 76TH ST STE 250
MILWAUKEE, WI
ZIP 53218
Phone: (414) 446-4660
Get Directions

MILWAUKEE INDONESIA MEDICAL CLINIC is a clinic center in Milwaukee, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MILWAUKEE INDONESIA MEDICAL CLINIC NPI is 1366814162. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Indonesia Medical Clinic.

The provider's business location address is:

6300 N 76TH ST STE 250
MILWAUKEE, WI
ZIP 53218-208
Phone: (414) 446-4660

The provider's authorized official is Herr Yang .
The authorized official title is President and has the following contact phone number (414) 397-1654.

The enumeration date for this NPI number is 10/20/2015 and was last updated on 11/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
2152W00000XOptometristNo
3183500000XPharmacistNo
4261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.