Organization
INTERNAL MEDICINE CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN CLEARY (PRESIDENT)
(262) 567-0227
Entity
Organization
Contact information
Practice address
1229 ROBRUCK DR, OCONOMOWOC, WI 53066-4446
(262) 567-0227
(262) 567-0229
Mailing address
1229 ROBRUCK DR, OCONOMOWOC, WI 53066-4446
(262) 567-0227
(262) 567-0229
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
21232
WI
Other
Enumeration date
02/12/2007
Last updated
09/20/2007
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