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Moreland Medical Center

NPI #1447248182 in Waukesha, Wisconsin

Provider Information

NPI Number
1447248182
Entity Type
Organization
Organization Name
Moreland Medical Center
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Oct 6, 2005
Last Updated
Mar 15, 2010

Practice Location

Address
1111 DELAFIELD ST
Address 2
SUITE 301
City
Waukesha
State
Wisconsin
ZIP Code
53188-3417
Phone
(262) 542-8020

Authorized Official

Name
MR. JOHN EDWARD STAGER
Title
DIRECTOR OF ANCILLARY SERVICES
Phone
(262) 452-8020

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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