Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heritage Clinic SC

Organization Clinic/Center · NPI 1588736276

Heritage Clinic SC is a Clinic/Center in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

201 N Mayfair Rd Ste 535
Wauwatosa, WI 53226-4216
Phone: (414) 771-6020
Fax: (414) 771-2242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 19290 (WI)

Record details

NPI number1588736276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Mager — President · (414) 771-6020
NPI enumeratedNovember 15, 2006
Last updated in NPPESAugust 22, 2020
Mailing address9449 N Broadmoor Rd, Bayside, WI 53217-1310

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