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Contact Information

GASTROENTEROLOGY MEDICINE S.C.
3201 S 16TH ST
2015
MILWAUKEE, WI53215-4537
 Phone: 414-671-0121
 Fax: 414-671-6949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for GASTROENTEROLOGY MEDICINE S.C.

NPI Number 1770544843
LBN Legal business name GASTROENTEROLOGY MEDICINE S.C.
Authorized official LIDIA DIBA - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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