Provider First Line Business Practice Location Address:
1121 E NORTH AVE
Provider Second Line Business Practice Location Address:
COLUMBIA ST MARYS FAMILY MEDICINE
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53212-3515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-267-6500
Provider Business Practice Location Address Fax Number:
414-267-3892
Provider Enumeration Date:
04/03/2013