OrganizationActive
Nova Medical Center LLC
NPI 1336310374 · Primary Care Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1336310374
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Maiyia Vang, President(414) 643-8815
- License
- 14421-020 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3501 W Greenfield Ave
Milwaukee, WI 53215-1445
Phone: (414) 643-8815
Fax: (414) 643-8816
Approximate (ZIP-level) locationGet directions
Mailing address
3501 W Greenfield Ave
Milwaukee, WI 53215-1445
Registry dates
- Enumerated
- 2008-03-18
- Last updated
- 2016-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.