Organization
AGPOON MEDICAL CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE S. AGPOON M.D. (PRESIDENT)
(262) 544-9680
Entity
Organization
Contact information
Practice address
1859 E MORELAND BLVD, WAUKESHA, WI 53186-3915
(262) 544-9680
(262) 544-1659
Mailing address
1859 E MORELAND BLVD, WAUKESHA, WI 53186-3915
(262) 544-9680
(262) 544-1659
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
18704
WI
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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