Gilane Center | |
10144 N Port Washington Rd Ste Ll-b Mequon WI 53092-5796 | |
(262) 240-1240 | |
Not Available |
Full Name | Gilane Center |
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Speciality | Community/behavioral Health |
Location | 10144 N Port Washington Rd Ste Ll-b, Mequon, Wisconsin |
Authorized Official Name and Position | John Gilane (OWNER) |
Authorized Official Contact | 2622401240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gilane Center 10144 N Port Washington Rd Ste Ll-b Mequon WI 53092-5796 Ph: () - | Gilane Center 10144 N Port Washington Rd Ste Ll-b Mequon WI 53092-5796 Ph: (262) 240-1240 |
NPI Number | 1780724328 |
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Provider Enumeration Date | 02/06/2007 |
Last Update Date | 06/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780724328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2523 (Wisconsin) | Primary |
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