| Carbon Health Primary Care Of Wisconsin Sc | |
|
11415 W Burleigh St Ste 103 Wauwatosa WI 53222-3217 | |
| (415) 446-1733 | |
| Not Available |
| Full Name | Carbon Health Primary Care Of Wisconsin Sc |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 11415 W Burleigh St Ste 103, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Gianna Papa (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4154461733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon Health Primary Care Of Wisconsin Sc 2100 Franklin St Ste 355 Oakland CA 94612-3140 Ph: () - | Carbon Health Primary Care Of Wisconsin Sc 11415 W Burleigh St Ste 103 Wauwatosa WI 53222-3217 Ph: (415) 446-1733 |
| NPI Number | 1033820386 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033820386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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