Organization
PRIVATE CLINIC.
Active
Other names
The Private Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANIA A PERSON NP, ADNP (PRESIDENT)
(262) 442-3912
Entity
Organization
Contact information
Practice address
10501 W RESEARCH DRIVE, SUITE G200, MILWAUKEE, WI 53226
(262) 442-3912
(414) 302-1040
Mailing address
10501 W RESEARCH DRIVE, SUITE G200, MILWAUKEE, WI 53226
(262) 442-3912
(414) 302-1040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/29/2023
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