Graduated: 2022
NPI: 1144912148
Practice Locations (2)
MID-SOUTH HOME CARE SERVICES LLC
MILWAUKEE, WI 53226
4149442038
MINUTECLINIC DIAGNOSTIC OF WISCONSIN LLC
1650 N FARWELL AVE
MILWAUKEE, WI 532022331
8663892727
Source: CMS National Downloadable File, September 2026.