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Organization

PRIVATE CLINIC.

Active
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Organization

PRIVATE CLINIC.

Active
Other names
The Private Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANIA A PERSON NP, ADNP (PRESIDENT)
(262) 442-3912
Entity
Organization

Contact information

Practice address
10501 W RESEARCH DRIVE, SUITE G200, MILWAUKEE, WI 53226
(262) 442-3912
(414) 302-1040
Mailing address
10501 W RESEARCH DRIVE, SUITE G200, MILWAUKEE, WI 53226
(262) 442-3912
(414) 302-1040

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
08/24/2023
Last updated
08/29/2023
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