Lakeshore Medical Clinic, Ltd
NPI #1336337187 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1336337187
- Entity Type
- Organization
- Organization Name
- Lakeshore Medical Clinic, Ltd
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 5, 2007
- Last Updated
- Apr 8, 2009
Practice Location
- Address
- 4131 W LOOMIS RD
- Address 2
- STE 110
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53221-2057
- Phone
- (414) 281-5153
Authorized Official
- Name
- MASOOD WASIULLAH, MD
- Title
- PRESIDENT
- Phone
- (414) 744-6589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
| Durable Medical Equipment & Medical Supplies |
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