Organization
PATTIS MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E PATTIS M.D. (OWNER)
(414) 447-9890
Entity
Organization
Contact information
Practice address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 447-9890
Mailing address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 447-9890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37017-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34522400
—
WI
Enumeration date
03/06/2007
Last updated
11/12/2008
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