Organization
VILLARD PRIMARY & SPECIALTY CARE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GERARD D.O. (PRESIDENT)
(414) 463-9159
Entity
Organization
Contact information
Practice address
5330 W VILLARD AVE, MILWAUKEE, WI 53218-4345
(414) 463-9159
(414) 831-0422
Mailing address
5330 W VILLARD AVE, MILWAUKEE, WI 53218-4345
(414) 463-9159
(414) 831-0422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30074500
—
WI
Enumeration date
06/16/2006
Last updated
08/22/2020
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