Lake Country Private Medical, SC
Lake Country Private Medical, SC is an Internal Medicine Physician in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.
- Licensed in
- WI
- In the registry since
- 2012
Practice location Address checks out
1185 Corporate Center Dr Ste 300Oconomowoc, WI 53066-4887
Phone: (262) 567-5190
Fax: (262) 567-5259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 48412 (WI) |
|---|
Record details
| NPI number | 1720351919 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patrick Fitzgerald — Owner · (262) 567-5190 |
| NPI enumerated | February 17, 2012 |
| Last updated in NPPES | May 18, 2012 |
| Mailing address | 1185 Corporate Center Dr Ste 300, Oconomowoc, WI 53066-4887 |
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