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Organization (NPI-2) Active

Clinic/Center

Provider Information

NPI Number
1114793460
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
5701 N LYDELL AVE, GLENDALE, WI, 532174537
Phone
(414) 516-1238
Fax
(414) 246-1989

Specialties & Taxonomies

Clinic/Center Primary

All Addresses

LOCATION

5701 N LYDELL AVE

GLENDALE, WI, 532174537

(414) 516-1238

MAILING

2249 S ALDRICH ST

MILWAUKEE, WI, 532071303