Organization
PREMIER PRENATAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA GILLESPIE (OWNER)
(414) 628-0636
Entity
Organization
Contact information
Practice address
8674 W MEDFORD AVE, MILWAUKEE, WI 53225-2823
(414) 628-0636
Mailing address
8674 W MEDFORD AVE, MILWAUKEE, WI 53225-2823
(414) 628-0636
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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