Organization
MCMC PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED GOUSE MOHIUDDIN M.D (DIRECTOR)
(414) 431-5004
Entity
Organization
Contact information
Practice address
5310 W CAPITOL DR, MILWAUKEE, WI 53216-2263
(414) 431-5004
Mailing address
5310 W CAPITOL DR, MILWAUKEE, WI 53216-2263
(414) 431-5004
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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