Vintage View Farm INC
NPI #1841694650 in Mequon, Wisconsin
Provider Information
- NPI Number
- 1841694650
- Entity Type
- Organization
- Organization Name
- Vintage View Farm INC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Oct 22, 2014
- Last Updated
- Dec 7, 2015
Practice Location
Authorized Official
- Name
- ADAM WALLOW
- Title
- MANAGING PRINCIPAL
- Phone
- (262) 242-1110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Preferred Provider Organization |
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