# MAGO MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lincoln Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376640342
- **Authorized official:** DR. MICHAEL GLENN OLACIREGUI M.D. (OWNER/DOCTOR)
- **Authorized official phone:** (414) 385-9801

## Contact information

- **Practice address:** 573 W LINCOLN AVE, MILWAUKEE, WI 53207-1141
- **Practice address phone:** (414) 385-9801
- **Practice address fax:** (414) 385-9803
- **Mailing address:** PO BOX 11430, MILWAUKEE, WI 53211-0430
- **Mailing address phone:** (414) 962-9070
- **Mailing address fax:** (414) 962-9050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 42851-020 | WI | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020