Provider First Line Business Practice Location Address:
COLUMBIA-ST. MARY'S FAMILY PRACTICE
Provider Second Line Business Practice Location Address:
1121 EAST NORTH AVENUE
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53212
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:
Provider Enumeration Date:
05/20/2006