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

Southeastern Family Practice SC

Organization Internal Medicine Physician · NPI 1134303621

Southeastern Family Practice SC is an Internal Medicine Physician in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1308 S 16th St
Milwaukee, WI 53204-2711
Phone: (414) 831-0100
Fax: (414) 831-1584
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 26529 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 48505 (WI)

Record details

NPI number1134303621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Noemi Prieto — President · (414) 463-6640
NPI enumeratedDecember 20, 2007
Last updated in NPPESDecember 20, 2007
Mailing address8532 W Capitol Dr, Milwaukee, WI 53222-1848

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