Interra Health Inc.
NPI #1700335288 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1700335288
- Entity Type
- Organization
- Organization Name
- Interra Health Inc.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 26, 2016
- Last Updated
- Sep 26, 2016
Practice Location
- Address
- 1675 N BARKER RD
- Address 2
- SUITE 200
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53045-5200
- Phone
- (414) 755-4898
Authorized Official
- Name
- DR. KYLE HANSEN, MD
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (414) 755-4898
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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