Southside Pediatrics Assoc

NPI #1427222082 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1427222082
Entity Type: Organization
Organization Name: Southside Pediatrics Assoc
Primary Specialty: Pediatrics
Enumeration Date: Apr 15, 2008
Last Updated: Apr 15, 2008

Practice Location

Address: 2727 W CLEVELAND AVE
City: Milwaukee
State: Wisconsin
ZIP Code: 53215
Phone: (414) 384-9880

Authorized Official

Name: MR. RANDALL T WESTLEY
Title: OWNER
Phone: (414) 322-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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