| Crain H. Bliwas M.d., S.c. | |
|
11101 W Lincoln Ave West Allis WI 53227-1133 | |
| (414) 203-4500 | |
| (414) 203-4503 |
| Full Name | Crain H. Bliwas M.d., S.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11101 W Lincoln Ave, West Allis, Wisconsin |
| Authorized Official Name and Position | Crain H Bliwas (PRESIDENT) |
| Authorized Official Contact | 4142034500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crain H. Bliwas M.d., S.c. 11101 W Lincoln Ave West Allis WI 53227-1133 Ph: (414) 203-4500 | Crain H. Bliwas M.d., S.c. 11101 W Lincoln Ave West Allis WI 53227-1133 Ph: (414) 203-4500 |
| NPI Number | 1215122395 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215122395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 19951 (Wisconsin) | Primary |
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