# MCMC URGICARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134238017
- **Authorized official:** DR. SYED GOUSE MOHIUDDIN MD (DEDICAL DIRECTOR)
- **Authorized official phone:** (414) 431-5004

## Contact information

- **Practice address:** 5310 W CAPITOL DR, 101, MILWAUKEE, WI 53216-2263
- **Practice address phone:** (414) 431-5004
- **Practice address fax:** (414) 431-2959
- **Mailing address:** 5310 W CAPITOL DR, 101, MILWAUKEE, WI 53216-2263
- **Mailing address phone:** (414) 431-5004
- **Mailing address fax:** (414) 431-2959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020