| NPI | 1306542394 |
|---|---|
| Doing Business As | MEDCO MILWAUKEE LLC |
| Entity Type | Organization |
| Authorized Contact | DMITRIY CHESTER Owner 262-292-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |