| NPI | 1952852121 |
|---|---|
| Doing Business As | OMNI FAMILY MEDICAL SC |
| Entity Type | Organization |
| Authorized Contact | MURTIS GRANT-ACQUAH Office Manager 414-374-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 6454820) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: WI 6454820) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |