# MEDICAL CARE INNOVATION, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285593632
- **Authorized official:** ROBERT L POULSEN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (414) 566-8400

## Contact information

- **Practice address:** 132 ASHLEY FURNITURE WAY, ADVANCE, NC 27006
- **Practice address phone:** (414) 566-8400
- **Practice address fax:** (414) 566-8400
- **Mailing address:** W227N6103 SUSSEX RD, SUSSEX, WI 53089-3969
- **Mailing address phone:** (414) 566-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2026
- **Last updated:** 01/21/2026
