Organization
PARKLAND CLINIC-MUNI H PATEL MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUNI PATEL MD (PRESIDENT)
(414) 771-2088
Entity
Organization
Contact information
Practice address
2600 N MAYFAIR RD, STE 850, MILWAUKEE, WI 53226-1309
(414) 771-2088
(414) 771-6308
Mailing address
2600 N MAYFAIR RD, STE 850, MILWAUKEE, WI 53226-1309
(414) 771-2088
(414) 771-6308
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106502324002
BLUE CROSS BLUE SHIELD
WI
01
—
15-66305
UNITED HEALTHCARE
WI
01
—
221695
VALUEOPTIONS PROVIDER
WI
05
—
30241700
—
WI
01
—
394509835002
BLUE CROSS BLUE SHIELD
WI
01
—
394723651003
BLUE CROSS BLUE SHIELD
WI
01
—
554859
DEAN HEALTHCARE
WI
01
—
930564044001
BLUE CROSS BLUE SHIELD
WI
Enumeration date
04/17/2007
Last updated
12/09/2011
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