Provider First Line Business Practice Location Address:
2900 WEST OKLAHOMA AVENUE
Provider Second Line Business Practice Location Address:
AURORA ST LUKES FAMILY MEDICINE PROGRAM
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-649-6732
Provider Business Practice Location Address Fax Number:
414-649-5840
Provider Enumeration Date:
10/26/2007