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
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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