Ozaukee Medical Group, LLC

NPI #1326125469 in Thiensville, Wisconsin

Provider Information

NPI Number: 1326125469
Entity Type: Organization
Organization Name: Ozaukee Medical Group, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 1, 2006
Last Updated: Oct 11, 2010

Practice Location

Address: 407 N MAIN ST
City: Thiensville
State: Wisconsin
ZIP Code: 53092-1212
Phone: (262) 242-3000

Authorized Official

Name: DR. BRUCE C HERMAN, M.D.
Title: MANAGER
Phone: (262) 242-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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