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1326599945
WISCONSIN MEDICAL GROUP
WEST ALLIS, WI
NPI
1326599945
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Entity Type
Organization
Authorized Contact
HALEY KEHOE
Owner
262-339-9797
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 5440321)
Enumeration Date
2016-10-18
Last Update Date
2016-10-18
Business Address
WISCONSIN MEDICAL GROUP
8800 W LINCOLN AVE
WEST ALLIS, WI 53227-2400
Phone number: 262-339-9797
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Mailing Address
WISCONSIN MEDICAL GROUP
14295 WOODMOUNT DR
BROOKFIELD, WI 53005-2390
Phone number: 262-339-9797
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