Interpedia, S.c.
NPI #1568432979 in Thiensville, Wisconsin
Provider Information
- NPI Number
- 1568432979
- Entity Type
- Organization
- Organization Name
- Interpedia, S.c.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 26, 2006
- Last Updated
- May 11, 2018
Practice Location
- Address
- 216 GREEN BAY RD STE 109
- City
- Thiensville
- State
- Wisconsin
- ZIP Code
- 53092-1625
- Phone
- (262) 241-5414
Authorized Official
- Name
- DR. DAVID BRUCE TICK, M.D.
- Title
- PRESIDENT
- Phone
- (262) 241-5414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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