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Organization
PRACTICE MANAGEMENT GROUP INC
Active
Organization
PRACTICE MANAGEMENT GROUP INC
Active
Other names
Eagle Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARINDER S GILL M.D. (PARTNER)
(262) 542-0074
Entity
Organization
Contact information
Practice address
1111 DELAFIELD STREET, STE 218, WAUKESHA, WI 53188-3403
(262) 574-9093
(262) 542-2803
Mailing address
1111 DELAFIELD STREET, SUITE 218, WAUKESHA, WI 53188-3403
(262) 574-9093
(262) 542-2803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
06/23/2006
Last updated
12/07/2015
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