| Greensqure Developmental Specialists | |
|
6791 N Green Bay Ave Glendale WI 53209-3422 | |
| (414) 228-4800 | |
| (414) 228-0894 |
| Full Name | Greensqure Developmental Specialists |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6791 N Green Bay Ave, Glendale, Wisconsin |
| Authorized Official Name and Position | Smriti Khare (PRESIDENT, CHILDREN'S MEDICAL GROUP) |
| Authorized Official Contact | 4142667615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greensqure Developmental Specialists 9000 W Wisconsin Ave Ms 958 Milwaukee WI 53226-4874 Ph: (414) 266-7615 | Greensqure Developmental Specialists 6791 N Green Bay Ave Glendale WI 53209-3422 Ph: (414) 228-4800 |
| NPI Number | 1427223775 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 01/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427223775 | NPI | - | NPPES |
| 21305800 | Medicaid | WI |
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