| NPI | 1003173378 |
|---|---|
| Doing Business As | RIVER'S SHORE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARI DZIADOWICZ Clinic Director 414-967-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 16312-130) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |