INTERRA HEALTH INC.
Ambulatory Health at Barker Rd, Brookfield, WI

License number
Wisconsin 43771-20
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. KYLE HANSEN MD
Title: CHIEF MEDICAL OFFICER
Phone: (414) 755-4898
Address
Address 2
1675 N Barker Rd SUITE 200, Brookfield, WI 53045
292 Ohio St, Oshkosh, WI 54902
National Provider ID: 1700335288
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about INTERRA HEALTH INC. at bizstanding.com

Interra Health, Inc.

Brookfield, WI  -  Hales Corners, WI

Status:
Inactive
Industry:
Health/Allied Services
Registration:
Oct 22, 2009
Phone:
(414) 755-4898 (Phone)
Addresses:
1675 N Barker Rd STE 200, Brookfield, WI 53045
5010 W Ashland Way, Hales Corners, WI 53132
State ID:
C3260261
Business type:
Statement & Designation By Foreign Corporation
President:
Derek J. Boyce (President)
Agent:
Juliana Figueiredo,Torrance, CA 90503 (Physical)

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