Providence Family Medical Clinic SC
Providence Family Medical Clinic SC is a Primary Care Clinic/Center in Glendale, Wisconsin. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
2500 W Silver Spring DrGlendale, WI 53209-4218
Phone: (414) 800-7171
Fax: (414) 800-7166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1861857542 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adedapo Okusanya — President · (269) 598-7404 |
| NPI enumerated | December 22, 2015 |
| Last updated in NPPES | December 22, 2015 |
| Mailing address | 2500 W Silver Spring Dr, Glendale, WI 53209-4218 |
Other providers in Glendale
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301 W Coventry Ct Ste 306, Glendale, WI 53217-3959 · (970) 722-8243