Waukesha Family Practice Center

NPI #1043344203 in Waukesha, Wisconsin

Provider Information

NPI Number
1043344203
Entity Type
Organization
Organization Name
Waukesha Family Practice Center
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Mar 16, 2007
Last Updated
Jun 20, 2008

Practice Location

Address
210 NW BARSTOW ST
Address 2
SUITE 201
ZIP Code
53188-3771
Phone
(262) 548-6903

Authorized Official

Name
MS. CHRIS C PURDY, RN
Title
PROGRAM ADMINISTRATOR
Phone
(262) 548-6916

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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