Solidaritus Health Wisconsin Sc

NPI #1104711605 in Oconomowoc, Wisconsin

Provider Information

NPI Number: 1104711605
Entity Type: Organization
Organization Name: Solidaritus Health Wisconsin Sc
Subpart: Yes (part of a larger organization)
Parent Organization: SOLIDARITUS HEALTH WISCONSIN SC
Primary Specialty: Family Medicine
Enumeration Date: Jun 12, 2025
Last Updated: Jun 12, 2025

Practice Location

Address: 915 SUMMIT AVE
City: Oconomowoc
State: Wisconsin
ZIP Code: 53066-3921
Phone: (414) 348-8970

Authorized Official

Name: GEORGIA JAQUETTE SMITH
Title: PRACTICE MANAGER
Phone: (715) 461-0463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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