Organization
MILWAUKEE FAMILY PRACTICE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR M LOPEZ MD (PHYSICIAN)
(414) 546-3400
Entity
Organization
Contact information
Practice address
4931 S 27TH ST, STE 200, GREENFIELD, WI 53221-2652
(414) 546-3400
(414) 546-3500
Mailing address
4931 S 27TH ST, STE 200, GREENFIELD, WI 53221-2652
(414) 546-3400
(414) 546-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32889900
—
WI
Enumeration date
12/07/2005
Last updated
08/22/2020
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