Organization
LANDMARK MEDICAL OF TENNESSEE PC
Active
Other names
Wisconsin
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HUY LE (CHIEF MEDICAL OFFICER)
(657) 237-2450
Entity
Organization
Contact information
Practice address
125 S 84TH ST, MILWAUKEE, WI 53214-1469
(657) 237-2450
Mailing address
7755 CENTER AVE STE 630, HUNTINGTON BEACH, CA 92647-9152
(657) 237-2450
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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