| Family First Care Clinic, LLC | |
|
108 Grove St Eagle WI 53119-2249 | |
| (262) 594-7012 | |
| (313) 556-1364 |
| Full Name | Family First Care Clinic, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 108 Grove St, Eagle, Wisconsin |
| Authorized Official Name and Position | Jessica L Olson (OWNER) |
| Authorized Official Contact | 2622716280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Care Clinic, LLC 2125 Penhurst Way Waukesha WI 53186-1224 Ph: (262) 594-7012 | Family First Care Clinic, LLC 108 Grove St Eagle WI 53119-2249 Ph: (262) 594-7012 |
| NPI Number | 1033701115 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 11/12/2021 |
| Certification Date | 11/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033701115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |