| NPI | 1104711605 |
|---|---|
| Other Name | SOLIDARITUS HEALTH OCONOMOWOC |
| Entity Type | Organization |
| Authorized Contact | GEORGIA JAQUETTE SMITH Practice Manager 715-461-0463 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |