Great Health Medical Wi Sc

NPI #1326854829 in Beloit, Wisconsin

Provider Information

NPI Number
1326854829
Entity Type
Organization
Organization Name
Great Health Medical Wi Sc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Dec 9, 2024
Last Updated
Sep 17, 2025

Practice Location

Address
1905 W HART RD
City
Beloit
ZIP Code
53511-2230
Phone
(718) 470-0288

Authorized Official

Name
AZLAN TARIQ
Title
OWNER
Phone
(212) 734-6621

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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