Organization
INNOVATIVE HEALTH CARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE STOKES M.D. (PRESIDENT)
(414) 874-5000
Entity
Organization
Contact information
Practice address
5050 W BROWN DEER RD, BROWN DEER, WI 53223-2424
(414) 874-5000
(414) 874-5012
Mailing address
5050 W BROWN DEER RD, BROWN DEER, WI 53223-2424
(414) 874-5000
(414) 874-5012
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32898600
—
WI
Enumeration date
03/12/2007
Last updated
02/05/2010
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