Organization
PARAMOUNT FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERANCE CHI APNP (OWNER)
(414) 793-7189
Entity
Organization
Contact information
Practice address
8684 WESTLAKE DR, GREENDALE, WI 53129-1072
(414) 793-7189
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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