Provider First Line Business Practice Location Address:
W180 N8085 TOWN HALL ROAD
Provider Second Line Business Practice Location Address:
COMMUNITY MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
MENOMONEE FALLS
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53052-0408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-257-3070
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2006