| The Clinic At Luther Manor | |
|
4545 N 92nd St Wauwatosa WI 53225-4807 | |
| (414) 464-6396 | |
| Not Available |
| Full Name | The Clinic At Luther Manor |
|---|---|
| Speciality | Clinic/center |
| Location | 4545 N 92nd St, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Arthur Allen Keup (CFO) |
| Authorized Official Contact | 4144646396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Clinic At Luther Manor 4545 N 92nd St Wauwatosa WI 53225-4807 Ph: (414) 464-6396 | The Clinic At Luther Manor 4545 N 92nd St Wauwatosa WI 53225-4807 Ph: (414) 464-6396 |
| NPI Number | 1467948380 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467948380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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