# FAMILY TIES PRENATAL CARE LLC

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

## Provider details

- **NPI number:** 1922711340
- **Authorized official:** TAMIKO WILDER (CEO)
- **Authorized official phone:** (414) 732-5160

## Contact information

- **Practice address:** 5215 N IRONWOOD RD STE 202, GLENDALE, WI 53217-4908
- **Practice address phone:** (414) 338-6119
- **Mailing address:** 5215 N IRONWOOD RD STE 202, GLENDALE, WI 53217-4908
- **Mailing address phone:** (414) 338-6119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2022
- **Last updated:** 12/30/2022