Organization
METROPOLITAN MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ELERT (BILLING)
(414) 967-3550
Entity
Organization
Contact information
Practice address
4495 N OAKLAND AVE, SHOREWOOD, WI 53211-1611
(414) 967-3550
(414) 967-3551
Mailing address
4495 N OAKLAND AVE, SHOREWOOD, WI 53211-1611
(414) 967-3550
(414) 967-3551
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41916000
—
WI
01
—
612428500
DEPT OF LABOR
—
Enumeration date
05/30/2006
Last updated
04/24/2012
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