Wisconsin Telehealthcare Network | |
5600 W Brown Deer Rd Suite 228 Milwaukee WI 53223-2311 | |
(414) 416-8301 | |
Not Available |
Full Name | Wisconsin Telehealthcare Network |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 5600 W Brown Deer Rd, Milwaukee, Wisconsin |
Authorized Official Name and Position | Khristina M Tolbert (OWNER) |
Authorized Official Contact | 4144168301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wisconsin Telehealthcare Network W146 S6974 Catalina Drive Muskego WI 53150 Ph: (414) 416-3801 | Wisconsin Telehealthcare Network 5600 W Brown Deer Rd Suite 228 Milwaukee WI 53223-2311 Ph: (414) 416-8301 |
NPI Number | 1164897872 |
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Provider Enumeration Date | 12/07/2015 |
Last Update Date | 12/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164897872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Wisconsin) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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