Organization
THRIVEHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZE NWATUOBI (ADMINISTRATOR)
(732) 395-8917
Entity
Organization
Contact information
Practice address
11414 W PARK PL, MILWAUKEE, WI 53224-3500
(732) 395-8917
Mailing address
11414 W PARK PL, MILWAUKEE, WI 53224-3500
(732) 395-8917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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