Provider First Line Business Practice Location Address:
COMMUNITY NURSING CLINIC AT WCTC
Provider Second Line Business Practice Location Address:
800 MAIN STREET ROOM SO173
Provider Business Practice Location Address City Name:
PEWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53072
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-695-1888
Provider Business Practice Location Address Fax Number:
262-695-1884
Provider Enumeration Date:
02/15/2006