Organization
HERITAGE HEALTHCARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN DACY (DIRECTOR)
(888) 389-9030
Entity
Organization
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(888) 389-9030
Mailing address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
02/12/2013
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