Provider First Line Business Practice Location Address:
N84 W17049 MENOMONEE AVE.
Provider Second Line Business Practice Location Address:
MENOMONEE FALLS HEALTH CARE CENTER
Provider Business Practice Location Address City Name:
MENOMONEE FALLS
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-255-1180
Provider Business Practice Location Address Fax Number:
262-255-1638
Provider Enumeration Date:
04/01/2009