Organization
FIRST CHOICE PRENATAL PROGARM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW SEBULIBA (ADMINSTRATOR)
(414) 462-3560
Entity
Organization
Contact information
Practice address
3975 N 68TH ST, SUITE 203, MILWAUKEE, WI 53216-2066
(414) 462-3560
Mailing address
3975 N 68TH ST, SUITE 203, MILWAUKEE, WI 53216-2066
(414) 462-3560
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
WI
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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