| M & S Clinical Services, Inc | |
|
2821 N 4th St 516 Milwaukee WI 53212-2362 | |
| (414) 263-6000 | |
| (414) 263-2270 |
| Full Name | M & S Clinical Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2821 N 4th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Mark Steven Fossie (CEO) |
| Authorized Official Contact | 4142636000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M & S Clinical Services, Inc 2821 N 4th St 516 Milwaukee WI 53212-2362 Ph: (414) 263-6000 | M & S Clinical Services, Inc 2821 N 4th St 516 Milwaukee WI 53212-2362 Ph: (414) 263-6000 |
| NPI Number | 1487878500 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5395714760 |
|---|---|
| Medicare Enrollment ID | O20150115001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487878500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1546 (Wisconsin) | Primary |
| Provider Name | Howard Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093042715 PECOS PAC ID: 2466774336 Enrollment ID: I20141203001507 |
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