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Organization
WISCONSIN HEALTH CENTER LLC
Active
Organization
WISCONSIN HEALTH CENTER LLC
Active
Other names
Wisconsin Health Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VISHAL LAL (EXECUTIVE DIRECTOR)
(414) 325-7246
Entity
Organization
Contact information
Practice address
4448 W LOOMIS RD, STE LL20, GREENFIELD, WI 53220
(414) 281-6980
(414) 281-6993
Mailing address
4131 W LOOMIS RD, STE 300, GREENFIELD, WI 53221
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/13/2006
Last updated
05/01/2019
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