Organization
EAR NOSE AND THROAT FAMILY CLINIC OF WISCONSIN SC
Active
Organization
EAR NOSE AND THROAT FAMILY CLINIC OF WISCONSIN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILEL SWERDLIN MD (MD PRESIDENT)
(262) 652-2887
Entity
Organization
Contact information
Practice address
6127 GREEN BAY RD, SUITE 100, KENOSHA, WI 53142-2946
(262) 652-2887
(262) 652-0547
Mailing address
6127 GREEN BAY RD, SUITE 100, KENOSHA, WI 53142-2946
(262) 652-2887
(262) 652-0547
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21301700
—
WI
Enumeration date
10/06/2006
Last updated
05/10/2021
Update your record
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