LAKE COUNTRY PRIVATE MEDICAL, S.C.

OCONOMOWOC, WI
NPI1720351919
Entity TypeOrganization
Authorized ContactPATRICK T FITZGERALD
Owner
262-567-5190
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  48412)
Enumeration Date2012-02-17
Last Update Date2012-05-18
Business Address
LAKE COUNTRY PRIVATE MEDICAL, S.C.
1185 CORPORATE CENTER DR STE 300
OCONOMOWOC, WI 53066-4887
Phone number: 262-567-5190
Mailing Address
LAKE COUNTRY PRIVATE MEDICAL, S.C.
1185 CORPORATE CENTER DR STE 300
OCONOMOWOC, WI 53066-4887
Phone number: 262-567-5190