Md21 Global

NPI #1932821733 in Delafield, Wisconsin

Provider Information

NPI Number: 1932821733
Entity Type: Organization
Organization Name: Md21 Global
Primary Specialty: Clinic/Center
Enumeration Date: Sep 19, 2022
Last Updated: Sep 19, 2022

Practice Location

Address: 601 GENESEE ST UNIT 303
City: Delafield
State: Wisconsin
ZIP Code: 53018-1410
Phone: (888) 498-5296

Authorized Official

Name: DR. TARA DALL, MD
Title: MEDICAL DIRECTOR
Phone: (888) 498-5296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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