Organization
SHOREWOOD FAMILY PHYSICIANS S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE A PETRUZATES (OFFICE MANAGER)
(414) 962-7477
Entity
Organization
Contact information
Practice address
1901 E CAPITOL DR, SHOREWOOD, WI 53211-2335
(414) 962-7477
(414) 962-2420
Mailing address
1901 E CAPITOL DR, SHOREWOOD, WI 53211-2335
(414) 962-7477
(414) 962-2420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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