HOLTON STREET CLINIC INC. NPI 1184882284

NPI Information

HOLTON STREET CLINIC, INC. is a voluntary or charitable in Milwaukee, WI. HOLTON STREET CLINIC, INC. NPI is 1184882284. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Std Specialties Clinic, Inc..

The provider's business location address is:

3251 N HOLTON ST
MILWAUKEE, WI
ZIP 53212-126
Phone: (414) 264-8800
Fax: (414) 264-7766

The provider's authorized official is Sheila Jhansale .
The authorized official title is Medical Director and has the following contact phone number (414) 264-8800.

The CLIA number assigned to this NPI record is 52D0681044 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 9/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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