Organization
WISCONSIN HEALTH CENTER LLC
Active
Other names
Wisconsin Health Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VISHAL LAL (EXECUTIVE DIRECTOR)
(414) 325-7246
Entity
Organization
Contact information
Practice address
4448 W LOOMIS RD, STE LL20, GREENFIELD, WI 53220
(414) 281-6980
(414) 281-6993
Mailing address
4131 W LOOMIS RD, STE 300, GREENFIELD, WI 53221
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
05/01/2019
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