Organization
LICE CLINICS OF AMERICA MILWAUKEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA FLORSHEIM (OWNER)
(262) 806-0477
Entity
Organization
Contact information
Practice address
13435 WATERTOWN PLANK RD, SUITE 1, ELM GROVE, WI 53122-2201
(262) 806-0477
Mailing address
13435 WATERTOWN PLANK RD, SUITE 1, ELM GROVE, WI 53122-2201
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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