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Organization

WISCONSIN MICHIGAN PHYSICIANS, SC

Active
Parent organization
WISCONSIN MICHIGAN PHYSICIANS, SC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WISCONSIN MICHIGAN PHYSICIANS, SC
Authorized official
STACY SCHINDERLE (MEDICAL STAFF/HR COORDINATOR)
(888) 724-6377
Entity
Organization

Contact information

Practice address
10945 N PORT WASHINGTON RD STE 201, MEQUON, WI 53092-5078
(262) 478-0301
Mailing address
PO BOX 6, NIAGARA, WI 54151-0006
(888) 724-6377
(715) 251-1681

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/16/2018
Last updated
11/16/2018
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