Shorewood Family Medical Clinic SC
Shorewood Family Medical Clinic SC is a Family Medicine Physician in Kenosha, Wisconsin. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
4400 Sheridan RdKenosha, WI 53140-5747
Phone: (262) 652-5454
Fax: (262) 652-5732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1770644346 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Hubbard — President · (262) 652-5454 |
| NPI enumerated | December 13, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4400 Sheridan Rd, Kenosha, WI 53140-5747 |
Other providers in Kenosha
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Dr. Vincent M Rizzo, MD
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Dr. James M Santarelli, MD
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Dr. Charles Santilukka, DO
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Xa X Xiong, MD
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