Provider First Line Business Practice Location Address:
9200 W. WISCONSIN AVE. FROEDTERT HOSPITAL & MEDICAL COL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-955-4578
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2020