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Organization

PRIMARY CARE OF MILWAUKEE, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CONSTANCE M GANAPES M.D. (PRESIDENT)
(414) 305-1334
Entity
Organization

Contact information

Practice address
2500 W LAYTON AVE, SUITE 230, MILWAUKEE, WI 53221-5420
(414) 305-1334
Mailing address
2500 W LAYTON AVE, SUITE 230, MILWAUKEE, WI 53221-5420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
01/08/2015
Last updated
01/08/2015
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