Independent Physicians of Wisconsin LLC

NPI #1326555442 in West Bend, Wisconsin

Provider Information

NPI Number
1326555442
Entity Type
Organization
Organization Name
Independent Physicians of Wisconsin LLC
Subpart
Yes (part of a larger organization)
Parent Organization
INDEPENDENT PHYSICIANS OF WISCONSIN, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 10, 2018
Last Updated
Dec 9, 2019

Practice Location

Address
140 E. WATER ST. STE 1
ZIP Code
53095-3415
Phone
(262) 355-8010

Authorized Official

Name
DR. CAREY CAMERON, MD
Title
MANAGING MEMBER
Phone
(262) 355-8010

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine
Durable Medical Equipment & Medical Supplies

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