Southeastern Pediatric & Adolescent Medicine, S.c.

NPI #1457483612 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1457483612
Entity Type: Organization
Organization Name: Southeastern Pediatric & Adolescent Medicine, S.c.
Primary Specialty: Pediatrics
Enumeration Date: Mar 12, 2007
Last Updated: Apr 30, 2015

Practice Location

Address: 8532 W CAPITOL DR
City: Milwaukee
State: Wisconsin
ZIP Code: 53222-1848
Phone: (414) 463-2607

Authorized Official

Name: ROSIE DELTORO
Title: ASSISTANT OFFICE MANAGER
Phone: (414) 463-2607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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