Organization
TOWN SQUARE MEDICAL S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MILLER (OWNER)
(414) 841-5596
Entity
Organization
Contact information
Practice address
675 N BARKER RD STE 100, BROOKFIELD, WI 53045-5937
(414) 988-5055
(414) 988-0034
Mailing address
675 N BARKER RD STE 100, BROOKFIELD, WI 53045-5937
(414) 988-5055
(414) 988-0034
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
04/10/2024
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