| Erc Wisconsin, Llc | |
|
2500 N Mayfair Rd Ste 600 Wauwatosa WI 53226-1428 | |
| (414) 727-4455 | |
| Not Available |
| Full Name | Erc Wisconsin, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2500 N Mayfair Rd Ste 600, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Marina Shepel (CONTRACTING & CREDENTIALING MANAGER) |
| Authorized Official Contact | 4252149321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erc Wisconsin, Llc 7351 E Lowry Blvd Suite #200 Denver CO 80256-1428 Ph: (414) 727-4455 | Erc Wisconsin, Llc 2500 N Mayfair Rd Ste 600 Wauwatosa WI 53226-1428 Ph: (414) 727-4455 |
| NPI Number | 1730853870 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730853870 | NPI | - | NPPES |
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