| Harbor Medical & Associates Sc | |
|
4810 Northwestern Ave Racine WI 53406-1504 | |
| (262) 637-2050 | |
| (262) 637-3910 |
| Full Name | Harbor Medical & Associates Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4810 Northwestern Ave, Racine, Wisconsin |
| Authorized Official Name and Position | Fredric Will (OWNER) |
| Authorized Official Contact | 2626372050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Medical & Associates Sc 4810 Northwestern Ave Racine WI 53406-1504 Ph: (262) 637-2050 | Harbor Medical & Associates Sc 4810 Northwestern Ave Racine WI 53406-1504 Ph: (262) 637-2050 |
| NPI Number | 1457554990 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 02/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457554990 | NPI | - | NPPES |
| 30531900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25744-020 (Wisconsin) | Primary |
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