| Pasqua Phase Ii, Llc | |
|
20720 Watertown Rd Ste 220 Waukesha WI 53186-1823 | |
| (262) 395-2250 | |
| Not Available |
| Full Name | Pasqua Phase Ii, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 20720 Watertown Rd Ste 220, Waukesha, Wisconsin |
| Authorized Official Name and Position | Kevin J Pasqua (PRESIDENT) |
| Authorized Official Contact | 2623952250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasqua Phase Ii, Llc 20720 Watertown Rd Waukesha WI 53186-1823 Ph: (262) 395-2250 | Pasqua Phase Ii, Llc 20720 Watertown Rd Ste 220 Waukesha WI 53186-1823 Ph: (262) 395-2250 |
| NPI Number | 1568038891 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568038891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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