Organization
OMNI FAMILY MEDICAL SC
Active
Parent organization
OMNI FAMILY MEDICAL SC
Other names
Omni Family Medical SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNI FAMILY MEDICAL SC
Authorized official
KWESI GRANT-ACQUAH (MD)
(414) 374-9575
Entity
Organization
Contact information
Practice address
7810 W GOOD HOPE RD, MILWAUKEE, WI 53223-4518
(414) 586-9255
(414) 760-6219
Mailing address
7810 W GOOD HOPE RD, MILWAUKEE, WI 53223-4518
(414) 586-9255
(414) 760-6219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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