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Organization

UNITED COMMUNITY HEALTH CENTER OF WISCONSIN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTONIO MICAHEL BOWEN (PRESIDENT & CEO)
(702) 787-0458
Entity
Organization

Contact information

Practice address
6701 W VILLARD AVE, MILWAUKEE, WI 53218-4004
(702) 787-0458
Mailing address
6701 W VILLARD AVE, MILWAUKEE, WI 53218-4004
(702) 787-0458

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
03/25/2026
Last updated
03/25/2026
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