| |
N112w15237 Mequon Rd Ste 500, Germantown, WI 53022-3468 | |
(414) 224-7834 | |
(414) 224-7835 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | N112w15237 Mequon Rd Ste 500, Germantown, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1851891675 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | N112w15237 Mequon Rd Ste 500, Germantown, WI 53022-3468 Ph: (414) 224-7834 |