PPM WISCONSIN LLC

GERMANTOWN, WI
NPI1811601776
Entity TypeOrganization
Authorized ContactLEE JOHNSON
Treasurer
208-401-1369
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2023-01-05
Last Update Date2023-01-05
Business Address
PPM WISCONSIN LLC
W175N11117 STONEWOOD DR STE 100
GERMANTOWN, WI 53022-6505
Phone number: 888-253-6598
Mailing Address
PPM WISCONSIN LLC
W175N11117 STONEWOOD DR STE 100
GERMANTOWN, WI 53022-6505
Phone number: 888-253-6598