Organization
INTERRA HEALTH INC.
Active
Other names
Breakbush Center for Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE D RUTH (IMPLEMENTATION & TRAINING COORDINAT)
(414) 375-1600
Entity
Organization
Contact information
Practice address
N4993 6TH DR, WESTFIELD, WI 53964-8200
(608) 296-2121
Mailing address
8919 W HEATHER AVE, MILWAUKEE, WI 53224-2417
(414) 375-1600
(414) 375-1639
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1417905035
WI
Other
Enumeration date
08/08/2016
Last updated
05/07/2019
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