Southeastern Pediatrics, SC
Southeastern Pediatrics, SC provides Family Medicine Physician services in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.
- Licensed in
- WI
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
10625 W North Ave Ste 326Wauwatosa, WI 53226-2315
Phone: (414) 771-0500
Fax: (414) 771-0363
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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 · Licence 41265 (WI) |
|---|---|
| Pediatric Adolescent Medicine Physician | Taxonomy 2080A0000X · Licence 41265 (WI) |
Record details
| NPI number | 1154765410 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ratidzai Rioga — President · (414) 771-0500 |
| NPI enumerated | April 17, 2013 |
| Last updated in NPPES | May 15, 2024 |
| Certification date | May 15, 2024 |
| Mailing address | 7592 Solutions Ctr # 777592, Chicago, IL 60677-7005 |
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