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MAYFAIR DIGESTIVE HEALTH CENTER, LLC

Surgery Yellow Pages

Wauwatosa, Wisconsin

Provider NPI: 1013984657

Organization Information:
Organization Name:  MAYFAIR DIGESTIVE HEALTH CENTER, LLC


Practice Location:
1033 N MAYFAIR RD SUITE 104 WAUWATOSA, WI 53226 US
Tel: 414-454-0600  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical

Other Provider Identifiers:

IssuerNumberStateType
41913000WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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