Organization
EMERGENCY MEDICINE OF RACINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G HOLTZCLAW MD (PRESIDENT)
(954) 377-2927
Entity
Organization
Contact information
Practice address
3807 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-8150
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
05/29/2013
Last updated
06/03/2013
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