| NPI | 1487438875 |
|---|---|
| Doing Business As | THE PRIVATE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANIA A PERSON President 262-442-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-29 |