Organization
INDEPENDENT PHYSICIANS OF WISCONSIN, LLC
Active
Parent organization
INDEPENDENT PHYSICIANS OF WISCONSIN, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDEPENDENT PHYSICIANS OF WISCONSIN, LLC
Authorized official
DR. DONNA HAYES DPM (MANAGING PARTNER)
(877) 287-1962
Entity
Organization
Contact information
Practice address
6125 GREEN BAY RD STE 600, KENOSHA, WI 53142-2928
(877) 287-1962
(855) 809-8128
Mailing address
5434 W CAPITOL DR STE 3, MILWAUKEE, WI 53216-2298
(414) 875-0505
(866) 225-2790
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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