Organization
CARBON HEALTH PRIMARY CARE OF WISCONSIN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN BOYLE (DIRECTOR)
(303) 601-5392
Entity
Organization
Contact information
Practice address
11415 W BURLEIGH ST STE 103, WAUWATOSA, WI 53222-3217
(415) 446-1733
Mailing address
2100 FRANKLIN ST STE 355, OAKLAND, CA 94612-3140
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
07/16/2024
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