WISCONSIN TELE-MED NETWORK is a family nurse practitioner in Kenosha, WI. WISCONSIN TELE-MED NETWORK NPI is 1568821841. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
6923 39TH AVE
KENOSHA, WI
ZIP 53142-129
Phone: (414) 416-3801
The provider's authorized official is Jodi A Bova .
The authorized official title is Owner and has the following contact phone number (414) 416-3801.
The CLIA number assigned to this NPI record is 52D2078114 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/16/2016 and was last updated on 2/25/2016.