Provider First Line Business Practice Location Address:
GERMANTOWN HEALTH CENTER
Provider Second Line Business Practice Location Address:
W168 N11237 WESTERN AVE
Provider Business Practice Location Address City Name:
GERMANTOWN
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-253-5060
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/13/2006