Provider First Line Business Practice Location Address:
2323 N LAKE DRIVE
Provider Second Line Business Practice Location Address:
WOMEN'S HOSPITAL, PERINATAL ASSESSMENT CENTER
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-585-1714
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/27/2023