Wisconsin Tele-Med Network

NPI #1568821841 in Kenosha, Wisconsin

Provider Information

NPI Number
1568821841
Entity Type
Organization
Organization Name
Wisconsin Tele-Med Network
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Feb 16, 2016
Last Updated
Feb 25, 2016

Practice Location

Address
6923 39TH AVE
ZIP Code
53142-7129
Phone
(414) 416-3801

Authorized Official

Name
JODI A BOVA
Title
OWNER
Phone
(414) 416-3801

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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