Organization
UTHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HIPP PA-C (COO)
(262) 696-9868
Entity
Organization
Contact information
Practice address
15455 W BLUEMOUND RD STE 250, BROOKFIELD, WI 53005-4007
(262) 696-9868
Mailing address
410 CAERNARVON RD, WALES, WI 53183-9611
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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