Organization
BADGER MEDICAL GROUP S.C.
Active
Other names
DOCTORS EXPRESS WAUKESHA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN D HOLZMACHER M.D. (MEDICAL DIRECTOR)
(414) 202-1724
Entity
Organization
Contact information
Practice address
1700 CORAL DR, WAUKESHA, WI 53186-1483
(262) 232-6200
(262) 232-6201
Mailing address
1700 CORAL DR, WAUKESHA, WI 53186-1483
(262) 232-6200
(262) 232-6201
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
42642-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34749000
—
WI
Enumeration date
08/12/2014
Last updated
09/02/2014
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