OrganizationActive
Great Midwest Medical, Inc.
NPI 1629356423 · Ambulatory Surgical Clinic/Center · Brookfield, WI
Provider details
- NPI number
- 1629356423
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Matteucci, President(262) 945-1094
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
17495 W Capitol Dr
Unit K
Brookfield, WI 53045-2059
Phone: (262) 945-1094
Approximate (ZIP-level) locationGet directions
Mailing address
17495 W Capitol Dr
Brookfield, WI 53045-2059
Registry dates
- Enumerated
- 2011-07-27
- Last updated
- 2011-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.