# UTHOLOGY

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

## Provider details

- **NPI number:** 1972182020
- **Authorized official:** JENNIFER HIPP PA-C (COO)
- **Authorized official phone:** (262) 696-9868

## Contact information

- **Practice address:** 15455 W BLUEMOUND RD STE 250, BROOKFIELD, WI 53005-4007
- **Practice address phone:** (262) 696-9868
- **Mailing address:** 410 CAERNARVON RD, WALES, WI 53183-9611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2021
- **Last updated:** 04/06/2021