Organization · Type 2 NPI
Wisconsin Healthcare Family Practices and Behavioral Services LLC
Primary Care Clinic/Center · Wauwatosa, WI
NPI number
1003422726
Active
Practice location
10721 W Capitol Dr Ste G103
Wauwatosa, WI 53222-1210
Fax (414) 909-8674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1003422726
Wisconsin Healthcare Family Practices and Behavioral Services LLC's National Provider Identifier is 1003422726, issued on Sep 17, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Wauwatosa, WI. The record was last updated on Sep 17, 2020.