Lake Country Private Medical, S.c.
NPI #1720351919 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1720351919
- Entity Type
- Organization
- Organization Name
- Lake Country Private Medical, S.c.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 17, 2012
- Last Updated
- May 18, 2012
Practice Location
- Address
- 1185 CORPORATE CENTER DR STE 300
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-4887
- Phone
- (262) 567-5190
Authorized Official
- Name
- DR. PATRICK T FITZGERALD, MD
- Title
- OWNER
- Phone
- (262) 567-5190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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