| Gaps Health Wi Ltd | |
|
3821 S Chicago Ave South Milwaukee WI 53172-3712 | |
| (248) 470-9509 | |
| Not Available |
| Full Name | Gaps Health Wi Ltd |
|---|---|
| Speciality | General Practice |
| Location | 3821 S Chicago Ave, South Milwaukee, Wisconsin |
| Authorized Official Name and Position | Sonali Wilborn (PHYSICIAN) |
| Authorized Official Contact | 6822063118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaps Health Wi Ltd Po Box 208003 Dallas TX 75320-8003 Ph: () - | Gaps Health Wi Ltd 3821 S Chicago Ave South Milwaukee WI 53172-3712 Ph: (248) 470-9509 |
| NPI Number | 1033760574 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033760574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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