| Vivent Health Inc | |
|
1311 N 6th St Milwaukee WI 53212-4006 | |
| (866) 525-5484 | |
| (414) 225-1575 |
| Full Name | Vivent Health Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1311 N 6th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Joann Marie Berk (SR. DIRECTOR OF CORPORATE SERVICES) |
| Authorized Official Contact | 4142251568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivent Health Inc 820 N Plankinton Ave Milwaukee WI 53203-1802 Ph: (414) 225-1542 | Vivent Health Inc 1311 N 6th St Milwaukee WI 53212-4006 Ph: (866) 525-5484 |
| NPI Number | 1215175146 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 03/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215175146 | NPI | - | NPPES |
| 38390700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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