Provider First Line Business Practice Location Address:
841 N BROADWAY FL 3
Provider Second Line Business Practice Location Address:
CITY OF MILWAUKEE HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53202-3639
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-286-3521
Provider Business Practice Location Address Fax Number:
414-286-5990
Provider Enumeration Date:
03/16/2008