| NPI | 1932197357 |
|---|---|
| Doing Business As | NEW BERLIN FAMILY PRACTICE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROGER WILLIAM BEAUMONT President 262-782-9541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 17304) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2015-06-24 |