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Organization

HIGHLAND HEIGHTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EUGENE D HUFF (PHYSICAL THERAPY ASSISTANT)
(414) 447-1568
Entity
Organization

Contact information

Practice address
2816 N 49TH ST, MILWAUKEE, WI 53210-1651
(414) 447-1568
Mailing address
2816 N 49TH ST, MILWAUKEE, WI 53210-1651
(414) 447-1568

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1097019
WI

Other

Enumeration date
12/15/2009
Last updated
12/15/2009
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