| River's Shore Clinic | |
|
3707 N Richards St Milwaukee WI 53212-1673 | |
| (414) 967-7006 | |
| (414) 967-7020 |
| Full Name | River's Shore Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3707 N Richards St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Debra Jean Danoski (CLINIC DIRECTOR) |
| Authorized Official Contact | 4149677006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River's Shore Clinic 3707 N Richards St Milwaukee WI 53212-1673 Ph: (414) 967-7006 | River's Shore Clinic 3707 N Richards St Milwaukee WI 53212-1673 Ph: (414) 967-7006 |
| NPI Number | 1740621044 |
|---|---|
| Provider Enumeration Date | 07/15/2013 |
| Last Update Date | 07/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740621044 | NPI | - | NPPES |
| DJKF54 | Other | WI | TAXONOMY NUMBER - 261QM0801X |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1643 (Wisconsin) | Primary |
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