Organization
WISCONSIN HEALTH CENTER
Active
Parent organization
APM WISCONSIN MSO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
APM WISCONSIN MSO, LLC
Authorized official
VISHAL LAL (AUTHORIZED REPRESENTATIVE)
(414) 325-7246
Entity
Organization
Contact information
Practice address
4448 W LOOMIS RD, LL20, GREENFIELD, WI 53220-4800
(414) 325-7246
Mailing address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/27/2015
Last updated
04/17/2019
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