Organization
MINUTECLINIC DIAGNOSTIC OF WISCONSIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JEAN PINCINCE (ADMINISTRATOR)
(401) 770-3813
Entity
Organization
Contact information
Practice address
1650 N FARWELL AVE, MILWAUKEE, WI 53202-2331
(866) 389-2727
Mailing address
1 CVS DR, MC2295, WOONSOCKET, RI 02895-6146
(866) 389-2727
(401) 406-3539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
03/26/2020
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