| Milwaukee Vamc | |
|
5000 W National Ave Milwaukee WI 53295-0001 | |
| (414) 384-2000 | |
| Not Available |
| Full Name | Milwaukee Vamc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5000 W National Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Vincent Hogan (COMPLIANCE OFFICER) |
| Authorized Official Contact | 4143842000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milwaukee Vamc 5000 W National Ave Milwaukee WI 53295-0001 Ph: (414) 384-2000 | Milwaukee Vamc 5000 W National Ave Milwaukee WI 53295-0001 Ph: (414) 384-2000 |
| NPI Number | 1821490012 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821490012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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