Healthcare Provider Details

I. General information

NPI: 1720110596
Provider Name (Legal Business Name): HLS MEDICAL SERVICES, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 10/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3970 N. OAKLAND AVE #200
MILWAUKEE WI
53211
US

IV. Provider business mailing address

3970 N. OAKLAND AVE #200
MILWAUKEE WI
53211
US

V. Phone/Fax

Practice location:
  • Phone: 414-449-2223
  • Fax: 414-449-2259
Mailing address:
  • Phone: 414-449-2223
  • Fax: 414-449-2259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROL A GERMANO
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 414-449-2223