Organization · NPI-2

Healthstat Onsite Clinic- Waukesa

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine · Waukesha, WI

NPI number1174930432
StatusActive
Last updated in NPPESJul 18, 2014

Details

NPI
1174930432
Entity type
Organization (NPI-2)
Legal business name
Healthstat Onsite Clinic- Waukesa
Organization subpart
No
Enumeration date
Jul 18, 2014
Last updated
Jul 18, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine––Yes

Practice location

615 W Moreland Blvd
Waukesha, WI 53188-2462

Phone 704-529-6161

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Authorized official

Warren Hutton
Coo
7045296161

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