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Organization
PARKLAND FAMILY PHYSICIANS SC
Active
Organization
PARKLAND FAMILY PHYSICIANS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD D NIMMER MD (VICE PRESIDENT)
(414) 282-4443
Entity
Organization
Contact information
Practice address
4448 W LOOMIS ROAD, SUITE #101, GREENFIELD, WI 53220-4817
(414) 282-4443
(414) 282-2278
Mailing address
4448 W LOOMIS ROAD, SUITE #101, GREENFIELD, WI 53220-4817
(414) 282-4443
(414) 282-2278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29409
WI
207Q00000X
Family Medicine Physician
29494
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32767900
—
WI
01
—
W010282
TRICARE
—
Enumeration date
08/31/2006
Last updated
06/30/2008
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