Organization
SOLIDARITUS HEALTH WISCONSIN SC
Active
Parent organization
SOLIDARITUS HEALTH WISCONSIN SC
Other names
Solidaritus Health Oconomowoc
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOLIDARITUS HEALTH WISCONSIN SC
Authorized official
GEORGIA JAQUETTE SMITH (PRACTICE MANAGER)
(715) 461-0463
Entity
Organization
Contact information
Practice address
915 SUMMIT AVE, OCONOMOWOC, WI 53066-3921
(414) 348-8970
Mailing address
1025 CONNECTICUT AVE NW STE 907, WASHINGTON, DC 20036-5434
(888) 491-2951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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