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Organization
CUBIC LIFE INTEGRATIVE CARE S.C.
Active
Organization
CUBIC LIFE INTEGRATIVE CARE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KESHNI LATA RAMNANAN MD (OWNER)
(414) 215-9955
Entity
Organization
Contact information
Practice address
325 FOREST GROVE DR STE 200, PEWAUKEE, WI 53072-3894
(414) 375-2800
Mailing address
325 FOREST GROVE DR STE 200, PEWAUKEE, WI 53072-3894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54487-20
WI
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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