Organization
HONOR ON-SITE CLINICS
Active
Parent organization
HONOR ON-SITE CLINICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
HONOR ON-SITE CLINICS
Authorized official
JENNIFER FICK PA-C (OWNER, PHYSICIAN ASSISTANT)
(715) 558-3510
Entity
Organization
Contact information
Practice address
605 W VETERANS WAY, MUKWONAGO, WI 53149-1116
(715) 558-3510
Mailing address
W179S6914 MUSKEGO DR, MUSKEGO, WI 53150-9631
(715) 558-3510
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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