5720 W. OKLAHOMA AVENUE, LLC

MILWAUKEE, WI
NPI1811212558
Entity TypeOrganization
Authorized ContactJOHN STUART LANHAM
Podiatrist
414-541-5566
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date2010-04-06
Last Update Date2010-04-06
Business Address
5720 W. OKLAHOMA AVENUE, LLC
5720 W OKLAHOMA AVE
MILWAUKEE, WI 53219-4301
Phone number: 414-541-5566
Mailing Address
5720 W. OKLAHOMA AVENUE, LLC
5720 W OKLAHOMA AVE
MILWAUKEE, WI 53219-4301
Phone number: 414-541-5566
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