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1588736276
HERITAGE CLINIC S.C.
WAUWATOSA, WI
NPI
1588736276
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Entity Type
Organization
Authorized Contact
RAYMOND PAUL MAGER
President
414-771-6020
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: WI 19290)
Enumeration Date
2006-11-15
Last Update Date
2020-08-22
Business Address
HERITAGE CLINIC S.C.
201 N MAYFAIR RD SUITE 535
WAUWATOSA, WI 53226-4216
Phone number: 414-771-6020
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Mailing Address
HERITAGE CLINIC S.C.
9449 N BROADMOOR RD
BAYSIDE, WI 53217-1310
Phone number: 414-771-6020
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