| Interra Health Inc. | |
|
N4993 6th Dr Westfield WI 53964-8200 | |
| (608) 296-2121 | |
| Not Available |
| Full Name | Interra Health Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | N4993 6th Dr, Westfield, Wisconsin |
| Authorized Official Name and Position | Michelle D Ruth (IMPLEMENTATION & TRAINING COORDINAT) |
| Authorized Official Contact | 4143751600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interra Health Inc. 8919 W Heather Ave Milwaukee WI 53224-2417 Ph: (414) 375-1600 | Interra Health Inc. N4993 6th Dr Westfield WI 53964-8200 Ph: (608) 296-2121 |
| NPI Number | 1073067013 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 05/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073067013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1417905035 (Wisconsin) | Primary |
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