NPI 1558732339

Omni Family Medical Sc

Organisation Point of Service Milwaukee, WI

Practice location

Address: 1134 W North Ave, Milwaukee, WI 53205-1333
Phone: (414) 374-9575

Authorised official

Name: Kwesi Grant-Acquah
Title: MD
Phone: (414) 374-9575

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1558732339
Entity type: Organization
NPI issued: 19 Oct 2015
Record last updated: 19 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.