| Chw Pain And Headache Clinic | |
|
9000 W Wisconsin Ave Pain Clinic And Headache Clinic Milwaukee WI 53226-4874 | |
| (414) 266-3133 | |
| (414) 266-1761 |
| Full Name | Chw Pain And Headache Clinic |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Weldon Gage (TREASURER/CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4142666401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chw Pain And Headache Clinic 9000 W Wisconsin Ave Mail Station 958 - Sheila Reuteman Milwaukee WI 53226-4874 Ph: (414) 266-7615 | Chw Pain And Headache Clinic 9000 W Wisconsin Ave Pain Clinic And Headache Clinic Milwaukee WI 53226-4874 Ph: (414) 266-3133 |
| NPI Number | 1275961021 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275961021 | NPI | - | NPPES |
| 1275961021 | Medicaid | WI |
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