EMERGENCY MEDICINE OF RACINE SC

MOUNT PLEASANT, WI
NPI1598102717
Entity TypeOrganization
Authorized ContactSTEPHEN G HOLTZCLAW
President
954-377-2927
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Additional Taxonomies207Q00000X Family Medicine
Enumeration Date2013-05-29
Last Update Date2013-06-03
Business Address
EMERGENCY MEDICINE OF RACINE SC
3807 SPRING ST
MOUNT PLEASANT, WI 53405-1667
Phone number: 262-687-8150
Mailing Address
EMERGENCY MEDICINE OF RACINE SC
307 S EVERGREEN AVE
WOODBURY, NJ 08096-2739
Phone number: 856-686-4306