Provider First Line Business Practice Location Address:
8901 W. LINCOLN AVE
Provider Second Line Business Practice Location Address:
AURORA WEST ALLIS MEDICAL CENTER
Provider Business Practice Location Address City Name:
WEST ALLIS
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-328-6000
Provider Business Practice Location Address Fax Number:
414-328-8536
Provider Enumeration Date:
01/05/2007