Organization
MILWAUKEE IMMEDIATE CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PERRY MONGOLES (PROPRIETOR)
(414) 745-4588
Entity
Organization
Contact information
Practice address
1971 W CAPITOL DR, MILWAUKEE, WI 53206-1909
(414) 873-9800
(414) 871-1971
Mailing address
1971 W CAPITOL DR, MILWAUKEE, WI 53206-1909
(414) 873-9800
(414) 871-1971
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
12/11/2008
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