SOUTHPORT HEALTHCARE LLC

KENOSHA, WI
NPI1740906874
Entity TypeOrganization
Authorized ContactAMBER L TUELLER
Secretary
208-207-2726
Organization Subpart ?No
Primary Taxonomy261QC1500X Clinic/Center Community Health
Enumeration Date2022-10-19
Last Update Date2025-06-06
Business Address
SOUTHPORT HEALTHCARE LLC
600 52ND ST STE 300
KENOSHA, WI 53140-3423
Phone number: 262-656-8400
Mailing Address
SOUTHPORT HEALTHCARE LLC
600 52ND ST STE 300
KENOSHA, WI 53140-3423
Phone number: 262-656-8400
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