Provider Demographics
NPI:1568071793
Name:ST FRANCIS PEDIATRICS LLC
Entity Type:Organization
Organization Name:ST FRANCIS PEDIATRICS LLC
Other - Org Name:ST FRANCIS PEDIATRICS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:BIANCA
Authorized Official - Last Name:MUSETE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-844-3034
Mailing Address - Street 1:3201 S 16TH ST STE 1020
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-4532
Mailing Address - Country:US
Mailing Address - Phone:414-643-7337
Mailing Address - Fax:414-643-1766
Practice Address - Street 1:3201 S 16TH ST STE 1020
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-4532
Practice Address - Country:US
Practice Address - Phone:414-643-7337
Practice Address - Fax:414-643-1766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty