| Md21 Global | |
|
601 Genesee St Unit 303 Delafield WI 53018-1410 | |
| (888) 498-5296 | |
| (888) 495-8194 |
| Full Name | Md21 Global |
|---|---|
| Speciality | Clinic/center |
| Location | 601 Genesee St Unit 303, Delafield, Wisconsin |
| Authorized Official Name and Position | Tara Dall (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8884985296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md21 Global 601 Genesee St Unit 303 Delafield WI 53018-1410 Ph: (888) 498-5296 | Md21 Global 601 Genesee St Unit 303 Delafield WI 53018-1410 Ph: (888) 498-5296 |
| NPI Number | 1932821733 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932821733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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