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Organization

FAMILY MEDICAL CARE ASSOCIATES, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOE LOUIE CHIN M.D. (PRESIDENT)
(920) 206-7772
Entity
Organization

Contact information

Practice address
123 HOSPITAL DR, SUITE 2004, WATERTOWN, WI 53098-3331
(920) 206-7772
(920) 206-1001
Mailing address
123 HOSPITAL DR, SUITE 2004, WATERTOWN, WI 53098-3331
(920) 206-7772
(920) 206-1001

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
21633
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30315300
WI
Enumeration date
10/03/2006
Last updated
08/22/2020
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