Organization
WISCONSIN TELEHEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHRISTINA M TOLBERT (OWNER)
(414) 416-8301
Entity
Organization
Contact information
Practice address
5600 W BROWN DEER RD, SUITE 228, MILWAUKEE, WI 53223-2311
(414) 416-8301
Mailing address
W146 S6974 CATALINA DRIVE, MUSKEGO, WI 53150
(414) 416-3801
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
WI
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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