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AGPOON MEDICAL CLINIC S.C. NPI 1841243839


NPI Information

NPI: 1841243839
Provider Name: AGPOON MEDICAL CLINIC, S.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1859 E MORELAND BLVD
WAUKESHA, WI
ZIP 53186
Phone: (262) 544-9680
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AGPOON MEDICAL CLINIC, S.C. is a primary care clinic center in Waukesha, WI. AGPOON MEDICAL CLINIC, S.C. NPI is 1841243839. The provider is registered as an organization entity type.

The provider's business location address is:

1859 E MORELAND BLVD
WAUKESHA, WI
ZIP 53186-915
Phone: (262) 544-9680
Fax: (262) 544-1659

The provider's authorized official is Jose S. Agpoon .
The authorized official title is President and has the following contact phone number (262) 544-9680.

The enumeration date for this NPI number is 5/18/2006 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
1261QP2300XClinic/CenterPrimary Care18704WISCONSINYes

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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