MCMC PRIMARY CARE LLC NPI 1568544633

NPI Information

  • NPI: 1568544633
  • Provider Name: MCMC PRIMARY CARE LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 5310 W CAPITOL DR
    MILWAUKEE, WI
    ZIP 53216
  • Phone: (414) 431-5004

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NPI Details

MCMC PRIMARY CARE LLC is a primary care clinic center in Milwaukee, WI. MCMC PRIMARY CARE LLC NPI is 1568544633. The provider is registered as an organization entity type.

The provider's business location address is:

5310 W CAPITOL DR
MILWAUKEE, WI
ZIP 53216-263
Phone: (414) 431-5004

The provider's authorized official is Syed Gouse Mohiuddin .
The authorized official title is Director and has the following contact phone number (414) 431-5004.

The enumeration date for this NPI number is 10/19/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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