Organization
MILWAUKEE UROLOGY SPECIALIST
Active
Organization
MILWAUKEE UROLOGY SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY ENGEVOLD (MANAGER)
(414) 425-8700
Entity
Organization
Contact information
Practice address
7400 W RAWSON AVE, FRANKLIN, WI 53132-8278
(414) 425-8700
Mailing address
7400 W RAWSON AVE, FRANKLIN, WI 53132-8278
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
6617
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LP2300X
—
WI
Enumeration date
10/05/2015
Last updated
10/05/2015
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