| NPI | 1447365614 |
|---|---|
| Doing Business As | SOUTHEASTERN PEDIATRIC & ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | NOEMI A PRIETO President 414-463-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 26529) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-07-16 |