| Prevail Psychiatry Llc | |
|
2222 N Mayfair Rd Wauwatosa WI 53226-2208 | |
| (262) 716-7580 | |
| Not Available |
| Full Name | Prevail Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 2222 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Justin Hanson (OWNER) |
| Authorized Official Contact | 2627167580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevail Psychiatry Llc 2222 N Mayfair Rd Wauwatosa WI 53226-2208 Ph: (262) 716-7580 | Prevail Psychiatry Llc 2222 N Mayfair Rd Wauwatosa WI 53226-2208 Ph: (262) 716-7580 |
| NPI Number | 1417322868 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 12/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417322868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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