Organization
LAKESHORE RHEUMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTINA TSENG MD (OWNER)
(414) 393-9833
Entity
Organization
Contact information
Practice address
377 W RIVERWOODS PARKWAY, SUITE 190, GLENDALE, WI 53212
(414) 393-9833
Mailing address
377 W RIVERWOODS PARKWAY, SUITE 190, GLENDALE, WI 53212
(414) 393-9833
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
49141-020
WI
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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