Milwaukee Psychiatry Sc | |
122 Green Bay Rd Ste 101 Thiensville WI 53092-1624 | |
(608) 622-7776 | |
(857) 216-6675 |
Full Name | Milwaukee Psychiatry Sc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 122 Green Bay Rd Ste 101, Thiensville, Wisconsin |
Authorized Official Name and Position | Matthew Weinlander (MEDICAL DIRECTOR) |
Authorized Official Contact | 6086227776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Milwaukee Psychiatry Sc N31w7100 Lincoln Blvd Cedarburg WI 53012-2258 Ph: (608) 622-7776 | Milwaukee Psychiatry Sc 122 Green Bay Rd Ste 101 Thiensville WI 53092-1624 Ph: (608) 622-7776 |
NPI Number | 1124682174 |
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Provider Enumeration Date | 04/25/2019 |
Last Update Date | 10/18/2022 |
Certification Date | 10/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124682174 | NPI | - | NPPES |
1043692700 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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