Trinity Integrative Family Medicine
NPI #1164700027 in New Berlin, Wisconsin
Provider Information
- NPI Number
- 1164700027
- Entity Type
- Organization
- Organization Name
- Trinity Integrative Family Medicine
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 26, 2011
- Last Updated
- Aug 15, 2011
Practice Location
- Address
- 15350 W NATIONAL AVE
- Address 2
- SUITE 212
- City
- New Berlin
- State
- Wisconsin
- ZIP Code
- 53151-5158
- Phone
- (262) 782-9541
Authorized Official
- Name
- GENEVIE LOREE KOCOUREK, M.D.
- Title
- DIRECTOR/OWNER
- Phone
- (414) 427-1577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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