| NPI | 1376851311 |
|---|---|
| Other Name | HILLSIDE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CANDICE COLE CFO 414-935-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 363A00000X Physician Assistant | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2017-01-25 |