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1770644346
SHOREWOOD FAMILY MEDICAL CLINIC S.C.
KENOSHA, WI
NPI
1770644346
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Entity Type
Organization
Authorized Contact
TIMOTHY MICHAEL HUBBARD
President
262-652-5454
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-12-13
Last Update Date
2020-08-22
Business Address
SHOREWOOD FAMILY MEDICAL CLINIC S.C.
4400 SHERIDAN RD
KENOSHA, WI 53140-5747
Phone number: 262-652-5454
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Mailing Address
SHOREWOOD FAMILY MEDICAL CLINIC S.C.
4400 SHERIDAN RD
KENOSHA, WI 53140-5747
Phone number: 262-652-5454
Copy
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