| Broadstep-wisconsin, Inc. | |
|
3090 N 53rd St Milwaukee WI 53210-1617 | |
| (414) 921-4202 | |
| (414) 210-2222 |
| Full Name | Broadstep-wisconsin, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3090 N 53rd St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Julianne Yopps (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 4149304421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadstep-wisconsin, Inc. 1205 S 70th St Ste 202 West Allis WI 53214-3167 Ph: (414) 930-4421 | Broadstep-wisconsin, Inc. 3090 N 53rd St Milwaukee WI 53210-1617 Ph: (414) 921-4202 |
| NPI Number | 1528634102 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 06/03/2021 |
| Certification Date | 06/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528634102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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