Organization
OAKWOOD FAMILY MEDICAL CLINIC,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ALAN REICH M.D. (PRESIDENT)
(414) 270-0777
Entity
Organization
Contact information
Practice address
1845 N FARWELL AVE STE 207, MILWAUKEE, WI 53202-1715
(414) 270-0777
Mailing address
1845 N FARWELL AVE STE 207, MILWAUKEE, WI 53202-1715
(414) 270-0777
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
36860
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21263100
—
WI
Enumeration date
09/10/2008
Last updated
11/21/2008
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