| Innovative Health Care, S.c. | |
|
5050 W Brown Deer Rd Brown Deer WI 53223-2424 | |
| (414) 874-5000 | |
| (414) 874-5012 |
| Full Name | Innovative Health Care, S.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5050 W Brown Deer Rd, Brown Deer, Wisconsin |
| Authorized Official Name and Position | Annette Stokes (PRESIDENT) |
| Authorized Official Contact | 4148745000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Health Care, S.c. 5050 W Brown Deer Rd Brown Deer WI 53223-2424 Ph: (414) 874-5000 | Innovative Health Care, S.c. 5050 W Brown Deer Rd Brown Deer WI 53223-2424 Ph: (414) 874-5000 |
| NPI Number | 1376675512 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 02/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376675512 | NPI | - | NPPES |
| 32898600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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