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Organization

PADRE PIO PEDIATRICS LLC

Active
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Organization

PADRE PIO PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SYED N HASNAIN M.D. (MEDICAL DIRECTOR)
(414) 873-9800
Entity
Organization

Contact information

Practice address
929 W MITCHELL ST, MILWAUKEE, WI 53204-3534
(262) 945-4170
(800) 208-2413
Mailing address
929 W MITCHELL ST, MILWAUKEE, WI 53204-3534
(414) 384-6612
(414) 384-6613

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
43966-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34152600
WI
Enumeration date
01/31/2012
Last updated
01/31/2012
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