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Organization

MIDWEST MEDICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MANOJ MODY M.D. (OWNER)
(414) 321-8662
Entity
Organization

Contact information

Practice address
12093 W MORGAN OAK DR, GREENFIELD, WI 53228-1035
(414) 321-8662
(414) 306-7002
Mailing address
12093 W MORGAN OAK DR, GREENFIELD, WI 53228-1035
(414) 321-8662
(414) 306-7002

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
02/29/2012
Last updated
02/29/2012
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