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NOEMI A PRIETO MD SC NPI 1447365614


NPI Information

NPI: 1447365614
Provider Name: NOEMI A PRIETO MD SC

Doing Business As: SOUTHEASTERN PEDIATRIC & ADOLESCENT MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8532 W CAPITOL DR
MILWAUKEE, WI
ZIP 53222
Phone: (414) 463-6640
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NOEMI A PRIETO MD SC is a primary care clinic center in Milwaukee, WI. NOEMI A PRIETO MD SC NPI is 1447365614. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeastern Pediatric & Adolescent Medicine.

The provider's business location address is:

8532 W CAPITOL DR
MILWAUKEE, WI
ZIP 53222-827
Phone: (414) 463-6640
Fax: (414) 463-6743

The provider's authorized official is Noemi A Prieto .
The authorized official title is President and has the following contact phone number (414) 463-6640.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/16/2009.


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
1261QP2300XClinic/CenterPrimary Care26529WISCONSINYes

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
134437400MEDICAIDWISCONSIN
231529500MEDICAIDWISCONSIN
330718400MEDICAIDWISCONSIN
432466900MEDICAIDWISCONSIN

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

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