Provider First Line Business Practice Location Address:
2400 W VILLARD AVE
Provider Second Line Business Practice Location Address:
ALL SAINTS FAMILY CARE CENTER
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53209-4901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-527-8348
Provider Business Practice Location Address Fax Number:
414-527-8046
Provider Enumeration Date:
11/09/2006