Organization
SIXTEEN STREET COMMUNITY HEALTH CENTER
Active
Other names
Waukesha Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE SCHULLER MD, MBA,FACP (CLINICAL VICE PRESIDENT)
(414) 672-1353
Entity
Organization
Contact information
Practice address
1337 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2712
(414) 672-1354
Mailing address
309 E NORTH ST, WAUKESHA, WI 53188-3718
(262) 408-2530
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1513-226
WI
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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