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1811601776
PPM WISCONSIN LLC
GERMANTOWN, WI
NPI
1811601776
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Entity Type
Organization
Authorized Contact
LEE JOHNSON
Treasurer
208-401-1369
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2023-01-05
Last Update Date
2023-01-05
Business Address
PPM WISCONSIN LLC
W175N11117 STONEWOOD DR STE 100
GERMANTOWN, WI 53022-6505
Phone number: 888-253-6598
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Mailing Address
PPM WISCONSIN LLC
W175N11117 STONEWOOD DR STE 100
GERMANTOWN, WI 53022-6505
Phone number: 888-253-6598
Copy
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