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6300 N 76th St Ste 250 Milwaukee WI 53218-1208 | |
(414) 446-4660 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 6300 N 76th St Ste 250, Milwaukee, Wisconsin |
Authorized Official Name and Position | Herr Yang (PRESIDENT) |
Authorized Official Contact | 4143971654 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6300 N 76th St Ste 250 Milwaukee WI 53218-1208 Ph: (414) 446-4660 | 6300 N 76th St Ste 250 Milwaukee WI 53218-1208 Ph: (414) 446-4660 |
NPI Number | 1366814162 |
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Provider Enumeration Date | 10/20/2015 |
Last Update Date | 11/14/2016 |
Identifier | Type | State | Issuer |
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1366814162 | NPI | - | NPPES |
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