Provider First Line Business Practice Location Address:
7401 104TH AVENUE, SUITE 110
Provider Second Line Business Practice Location Address:
COMPREHENSIVE ORTHOPAEDICS, S.C.
Provider Business Practice Location Address City Name:
KENOSHA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53142
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-325-7246
Provider Business Practice Location Address Fax Number:
414-325-3770
Provider Enumeration Date:
06/22/2015