Healthcare Provider Details

I. General information

NPI: 1821217860
Provider Name (Legal Business Name): MEDPOINT URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 W SILVER SPRING DR
GLENDALE WI
53209-4217
US

IV. Provider business mailing address

2501 W SILVER SPRING DR
GLENDALE WI
53209-4217
US

V. Phone/Fax

Practice location:
  • Phone: 414-461-9250
  • Fax: 414-461-3553
Mailing address:
  • Phone: 414-461-9250
  • Fax: 414-461-3553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number32123
License Number StateWI

VIII. Authorized Official

Name: DR. WALEED S NAJEEB
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 414-461-9250