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MAGO MEDICAL INC NPI 1376640342


NPI Information

NPI: 1376640342
Provider Name: MAGO MEDICAL INC

Doing Business As: LINCOLN HEALTH CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
573 W LINCOLN AVE
MILWAUKEE, WI
ZIP 53207
Phone: (414) 385-9801
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MAGO MEDICAL INC is an internal medicine in Milwaukee, WI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MAGO MEDICAL INC NPI is 1376640342. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lincoln Health Center.

The provider's business location address is:

573 W LINCOLN AVE
MILWAUKEE, WI
ZIP 53207-141
Phone: (414) 385-9801
Fax: (414) 385-9803

The provider's authorized official is Michael Glenn Olaciregui .
The authorized official title is Owner/doctor and has the following contact phone number (414) 385-9801.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


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
1207R00000XInternal Medicine42851-020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121285500MEDICAIDWISCONSIN

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: 11/14/2023

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