Organization
MARIA PORTELLOS PATTERSON, M.D., S.C.
Active
Other names
Children's Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA P PATTERSON MD (OWNER)
(262) 641-8181
Entity
Organization
Contact information
Practice address
17000 W NORTH AVE STE 102E, BROOKFIELD, WI 53005-4423
(262) 641-8181
(262) 641-8188
Mailing address
17000 W NORTH AVE STE 102E, BROOKFIELD, WI 53005-4423
(262) 641-8181
(262) 641-8188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
42757
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34034800
—
WI
Enumeration date
03/16/2007
Last updated
02/07/2018
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