Heritage Clinic SC
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 535Wauwatosa, WI 53226-4216
Phone: (414) 771-6020
Fax: (414) 771-2242
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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 number | 1588736276 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Mager — President · (414) 771-6020 |
| NPI enumerated | November 15, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 9449 N Broadmoor Rd, Bayside, WI 53217-1310 |
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