Provider First Line Business Practice Location Address:
10625 W NORTH AVENUE SUITE 102
Provider Second Line Business Practice Location Address:
EMERGENCY MEDICINE SPECIALISTS, S.C.
Provider Business Practice Location Address City Name:
WAUWATOSA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53266-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-877-5345
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2014