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
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