Family Medicine & Surgery LLC

NPI #1922305077 in East Troy, Wisconsin

Provider Information

NPI Number: 1922305077
Entity Type: Organization
Organization Name: Family Medicine & Surgery LLC
Primary Specialty: General Practice
Enumeration Date: Feb 24, 2011
Last Updated: Feb 24, 2011

Practice Location

Address: 3066 MAIN ST
City: East Troy
State: Wisconsin
ZIP Code: 53120-1148
Phone: (262) 642-7313

Authorized Official

Name: DR. NEIL JAMES RENNICK, D.O.
Title: SOLE PROPRIETOR
Phone: (262) 642-7313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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