Organization
TOWNE CENTRE MEDICAL, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA HORNER-IBLER M.D. (PRESIDENT)
(262) 754-1421
Entity
Organization
Contact information
Practice address
19035 W CAPITOL DR, SUITE 101, BROOKFIELD, WI 53045-2706
(262) 754-1421
(262) 754-3760
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21296100
—
WI
Enumeration date
01/27/2006
Last updated
01/04/2010
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