Medco Milwaukee LLC

NPI #1306542394 in Mequon, Wisconsin

Provider Information

NPI Number: 1306542394
Entity Type: Organization
Organization Name: Medco Milwaukee LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 1, 2023
Last Updated: Feb 1, 2023

Practice Location

Address: 1340 W TOWNE SQUARE RD STOP 5
City: Mequon
State: Wisconsin
ZIP Code: 53092-5076
Phone: (262) 292-8101

Authorized Official

Name: DMITRIY CHESTER, APN
Title: OWNER
Phone: (262) 292-8101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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