Organization
NOEMI A PRIETO MD SC
Active
Organization
NOEMI A PRIETO MD SC
Active
Other names
Southeastern Pediatric & Adolescent Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
NOEMI A PRIETO MD (PRESIDENT)
(414) 463-6640
Entity
Organization
Contact information
Practice address
8532 W CAPITOL DR, MILWAUKEE, WI 53222-1827
(414) 463-6640
(414) 463-6743
Mailing address
1126 S. 70TH ST, N500, MILWAUKEE, WI 53214
(414) 455-4780
(414) 475-2936
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
26529
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30718400
—
WI
05
—
31529500
—
WI
05
—
32466900
—
WI
05
—
34437400
—
WI
Enumeration date
08/20/2006
Last updated
07/16/2009
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