Interra Health, Inc.

NPI 1396070876 - Clinic/Center - 261QC1800X

NPI Details
NPI 1396070876
Enumeration Date 10/16/2009
Last Updated 12/21/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DEREK DEREK
Position PRESIDENT
Phone (414) 755-4898
Fax (262) 364-3076
Practice Location
5010 W ASHLAND WAY
FRANKLIN WI, 53132-8177, US
Phone (414) 755-4898
Fax (262) 364-3076
Business Location
1675 N BARKER RD
SUITE 200
BROOKFIELD WI, 53045-5200, US
Phone (414) 755-4898
Fax
Toxanomy
Taxonomy Code 261QC1800X
License State
License Number
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According to our database, Interra Health, Inc. NPI is 1396070876, taxonomy code is 261QC1800X Interra Health, Inc. physically located at 5010 W Ashland Way, Franklin WI, 53132-8177. NPI Number 1033115704 has the healthcare provider type.

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1396070876 NPI number is provided on an as is basis without warranty of any kind. 1396070876 is maintained by the National Plan & Provider Enumeration System. The contents of Interra Health, Inc. are for informational purposes only.