Organization
MEDICAL ON THE MOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L MISCHUK (OWNER)
(262) 501-2000
Entity
Organization
Contact information
Practice address
N88W16624 APPLETON AVE, MENOMONEE FALLS, WI 53051-2858
(262) 345-5343
(262) 437-1328
Mailing address
N85W18181 TYLER DR, MENOMONEE FALLS, WI 53051-2535
(262) 250-2570
(262) 255-4090
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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