Organization
HERITAGE CLINIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND PAUL MAGER D.O. (PRESIDENT)
(414) 771-6020
Entity
Organization
Contact information
Practice address
201 N MAYFAIR RD, SUITE 535, WAUWATOSA, WI 53226-4216
(414) 771-6020
(414) 771-2242
Mailing address
9449 N BROADMOOR RD, BAYSIDE, WI 53217-1310
(414) 771-6020
(414) 771-2242
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
19290
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30032400
—
WI
Enumeration date
11/15/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us