Organization
CAINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN CAINE (PRESIDENT)
(414) 313-4652
Entity
Organization
Contact information
Practice address
620 BELL ST, WAUKESHA, WI 53186-5172
(414) 313-4652
Mailing address
11114 W MEQUANIGO DR, WEST ALLIS, WI 53227-3051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34605
WI
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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