Provider First Line Business Practice Location Address:
3239 N 9TH ST
Provider Second Line Business Practice Location Address:
CHHS SCHOOL BASED HEALTH; ATTN: SARA SIEDENBURG
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53206-3251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-264-0465
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2012