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Organization
DIABETES OSTEOPOROSIS THYROID ENDOCRINE CENTER, LLC
Active
Organization
DIABETES OSTEOPOROSIS THYROID ENDOCRINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE HARDY (OFFICE MANAGER)
(262) 619-3473
Entity
Organization
Contact information
Practice address
1532 S GREEN BAY RD STE 300, MOUNT PLEASANT, WI 53406-4410
(262) 619-3473
(262) 619-3473
Mailing address
4077 LIGHTHOUSE DR, RACINE, WI 53402-3113
(262) 619-3473
(262) 619-9600
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
41940020
WI
Other
Enumeration date
06/27/2008
Last updated
01/02/2015
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