| Stillwaters Cancer Support Center | |
|
2607 N Grandview Blvd Ste 108 Waukesha WI 53188-1690 | |
| (262) 548-9148 | |
| (262) 513-5731 |
| Full Name | Stillwaters Cancer Support Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2607 N Grandview Blvd Ste 108, Waukesha, Wisconsin |
| Authorized Official Name and Position | Amy Baumann (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2625244149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwaters Cancer Support Center 2607 N Grandview Blvd Ste 108 Waukesha WI 53188-1690 Ph: (262) 548-9148 | Stillwaters Cancer Support Center 2607 N Grandview Blvd Ste 108 Waukesha WI 53188-1690 Ph: (262) 548-9148 |
| NPI Number | 1124559406 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124559406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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