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Organization

SOLIDARITUS HEALTH WISCONSIN SC

Active
Parent organization
SOLIDARITUS HEALTH WISCONSIN SC
Other names
Solidaritus Health Sheboygan
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOLIDARITUS HEALTH WISCONSIN SC
Authorized official
LAKEISHA FLORES (CHIEF OPERATING OFFICER)
(804) 304-6764
Entity
Organization

Contact information

Practice address
615 PENNSYLVANIA AVE STE 3, SHEBOYGAN, WI 53081-4664
(920) 547-4210
(800) 671-5786
Mailing address
1025 CONNECTICUT AVE NW STE 907, WASHINGTON, DC 20036-5434
(888) 491-2951

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/10/2024
Last updated
05/14/2024
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