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Individual provider · Health Service Clinic/Center · Milwaukee, WI

NPI
1821458811
Type
Individual (Type 1)
Primary specialty
Health Service Clinic/Center (Clinic/Center)
Specialty group
Ambulatory Health Care Facilities
Taxonomy code
261QH0100X
Sex
Male
Sole proprietor
Yes
Enumerated
2016-03-03
Last updated
2016-03-03
Practice location
5205 S 13th St Unit E
Milwaukee, WI 53221-3648
(414) 477-3398

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