| Medina's Way | |
|
6815 W Capitol Ave #202 Milwaukee WI 53216 | |
| (414) 751-8950 | |
| (414) 461-2005 |
| Full Name | Medina's Way |
|---|---|
| Speciality | Counselor |
| Location | 6815 W Capitol Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Sharon Nita Medina (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4147196633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medina's Way 6815 W Capitol Ave #202 Milwaukee WI 53216 Ph: (414) 751-8950 | Medina's Way 6815 W Capitol Ave #202 Milwaukee WI 53216 Ph: (414) 751-8950 |
| NPI Number | 1871843334 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 09/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871843334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1423-226 (Wisconsin) | Primary |
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