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Organization
ST. LUKE'S HEALTH SERVICES, INC.
Active
Organization
ST. LUKE'S HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN BOLAND (PRESIDENT)
(262) 687-4886
Entity
Organization
Contact information
Practice address
3801 SPRING ST, RACINE, WI 53405-1667
(262) 687-4285
Mailing address
PO BOX 681126, MILWAUKEE, WI 53268-1126
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/27/2007
Last updated
01/27/2014
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