Northeast OBGYN SC
Northeast OBGYN SC is an Obstetrics & Gynecology Physician in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
7040 N Port Washington Rd Ste 400Glendale, WI 53217-3838
Phone: (414) 228-8888
Fax: (414) 228-8390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X |
|---|---|
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X (WI) |
Record details
| NPI number | 1508936154 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Fait — President · (414) 228-8888 |
| NPI enumerated | November 9, 2006 |
| Last updated in NPPES | August 13, 2021 |
| Certification date | August 13, 2021 |
| Mailing address | 7040 N Port Washington Rd, Suite 400, Glendale, WI 53217-3838 |
Other providers in Glendale
-
Michael H Gilman, DO
4655 N Port Washington Rd Ste 100, Glendale, WI 53212-1004 · (414) 961-7444
-
John Waeltz, MD
4655 N Port Washington Rd Ste 100, Glendale, WI 53212-1004 · (414) 961-7444