| Lowtwillc | |
|
2323 N Mayfair Rd Ste 104 Wauwatosa WI 53226-1506 | |
| (262) 544-6402 | |
| Not Available |
| Full Name | Lowtwillc |
|---|---|
| Speciality | Clinic/center |
| Location | 2323 N Mayfair Rd Ste 104, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Sandy Hardman (CREDENTIALER) |
| Authorized Official Contact | 3142542420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowtwillc 4175 Crescent Dr Ste A Saint Louis MO 63129-1083 Ph: (314) 254-2420 | Lowtwillc 2323 N Mayfair Rd Ste 104 Wauwatosa WI 53226-1506 Ph: (262) 544-6402 |
| NPI Number | 1376001578 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376001578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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