Organization
HORIZON HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN MATAVKA (EXECUTIVE VICE PRESIDENT)
(262) 641-9050
Entity
Organization
Contact information
Practice address
633 W WISCONSIN AVE, SUITE 1810, MILWAUKEE, WI 53203-1908
(414) 810-2967
(262) 641-9126
Mailing address
285 N JANACEK RD, BROOKFIELD, WI 53045-6102
(262) 641-9050
(262) 641-9126
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2174
WI
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
09/11/2013
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