Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Milwaukee Indonesia Medical Clinic

Organization Dentist · NPI 1366814162

Milwaukee Indonesia Medical Clinic is a Dentist in Milwaukee, Wisconsin. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4

Practice location Address checks out

6300 N 76th St Ste 250
Milwaukee, WI 53218-1208
Phone: (414) 446-4660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Dentist Taxonomy 122300000X
Optometrist Taxonomy 152W00000X
Pharmacist Taxonomy 183500000X

Record details

NPI number1366814162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Herr Yang — President · (414) 397-1654
Other names Indonesia Medical Clinic
NPI enumeratedOctober 20, 2015
Last updated in NPPESNovember 14, 2016
Mailing address6300 N 76th St Ste 250, Milwaukee, WI 53218-1208

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