Organization
DIABETES OSTEOPOROSIS THYROID ENDOCRINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE HARDY (OFFICE MANAGER)
(262) 619-3473
Entity
Organization
Contact information
Practice address
1532 S GREEN BAY RD STE 300, MOUNT PLEASANT, WI 53406-4410
(262) 619-3473
(262) 619-3473
Mailing address
4077 LIGHTHOUSE DR, RACINE, WI 53402-3113
(262) 619-3473
(262) 619-9600
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
41940020
WI
Other
Enumeration date
06/27/2008
Last updated
01/02/2015
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