Kenosha Family Practice, S.c.

NPI #1982770095 in Kenosha, Wisconsin

Provider Information

NPI Number
1982770095
Entity Type
Organization
Organization Name
Kenosha Family Practice, S.c.
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Nov 28, 2006
Last Updated
Feb 20, 2014

Practice Location

Address
5923 GREEN BAY RD
ZIP Code
53144-3737
Phone
(262) 652-0500

Authorized Official

Name
DR. STEPHEN P FEUERBACH, MD
Title
PRESIDENT
Phone
(262) 652-0500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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