Organization
FAMILY TIES PRENATAL CARE LLC
Active
Organization
FAMILY TIES PRENATAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKO WILDER (CEO)
(414) 732-5160
Entity
Organization
Contact information
Practice address
5215 N IRONWOOD RD STE 202, GLENDALE, WI 53217-4908
(414) 338-6119
Mailing address
5215 N IRONWOOD RD STE 202, GLENDALE, WI 53217-4908
(414) 338-6119
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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