Provider First Line Business Practice Location Address:
5000 W CHAMBERS ST
Provider Second Line Business Practice Location Address:
ST. JOSEPH REGIONAL MEDICAL CTR-WOMEN'S OUTPATIENT CTR
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53210-1650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-447-2275
Provider Business Practice Location Address Fax Number:
414-874-4045
Provider Enumeration Date:
01/29/2007