Organization
CH MASON HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA COLLINS-JOHNSON (PROJECT MANAGER)
(414) 249-4613
Entity
Organization
Contact information
Practice address
4858 W. MOTHER DANIELS WAY, MILWAUKEE, WI 53209
(414) 249-4613
(414) 249-4823
Mailing address
3500 W MOTHER DANIELS WAY, MILWAUKEE, WI 53209-5311
(414) 249-4613
(414) 249-4823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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