Organization · NPI-2
Caring Team INC
Family Medicine · New Berlin, WI
NPI number1932197357
StatusActive
Last updated in NPPESJun 24, 2015
Details
- NPI
- 1932197357
- Entity type
- Organization (NPI-2)
- Legal business name
- Caring Team INC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2005
- Last updated
- Jun 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 17304 | WI | Yes |
Other names
- New Berlin Family Practice Clinic (Doing Business As)
Practice location
15350 W National AveSuite 212
New Berlin, WI 53151-5158
Phone 262-782-9541 · Fax 262-782-6541
Mailing address
N69w29753 Ridgeview CtHartland, WI 53029-9253
Phone 262-782-9541 · Fax 262-782-6541
Authorized official
Roger William Beaumont
President
2627829541
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