# MILWAUKEE IMMEDIATE CARE CORPORATION

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

## Provider details

- **NPI number:** 1790959138
- **Authorized official:** MR. PERRY MONGOLES (PROPRIETOR)
- **Authorized official phone:** (414) 745-4588

## Contact information

- **Practice address:** 1971 W CAPITOL DR, MILWAUKEE, WI 53206-1909
- **Practice address phone:** (414) 873-9800
- **Practice address fax:** (414) 871-1971
- **Mailing address:** 1971 W CAPITOL DR, MILWAUKEE, WI 53206-1909
- **Mailing address phone:** (414) 873-9800
- **Mailing address fax:** (414) 871-1971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 12/11/2008