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Heritage Clinic S.c.
Clinic/Center in Wauwatosa, Wisconsin
NPI 1588736276

Heritage Clinic S.c. is a Clinic/Center based in Bayside, WI. Heritage Clinic S.c. practices in Wauwatosa, WI. The NPI Number for Heritage Clinic S.c. is 1588736276 and holds a License No. 19290 (Wisconsin).

The current practice location address for Heritage Clinic S.c. is 201 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-771-6020 and via fax at 414-771-2242. You can also correspond with Heritage Clinic S.c. through the mailing address at 9449 N BROADMOOR RD, BAYSIDE, WI - 53217-1310 (mailing address contact number: 414-771-6020).

Location: 201 N Mayfair Rd, Wauwatosa, WI, 53217-1310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588736276
Provider Name
Heritage Clinic S.c.
Credential
Provider Entity Type
Organization
Address
201 N Mayfair Rd, Wauwatosa, WI, 53217-1310
Phone Number
414-771-6020
Fax Number
414-771-2242
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30032400 05 WI
institution
Provider Business Practice Location Address Details
Address
201 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-4216
Phone Number
414-771-6020
Fax Number
414-771-2242
person
Provider Business Mailing Address Details
Address
201 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-4216
Phone Number
414-771-6020
Fax Number
414-771-2242
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
19290 (Wisconsin)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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