| The Salvation Army - Wisconsin And Upper Michigan | |
|
1730 N 7th Street Milwaukee WI 53205 | |
| (414) 265-6360 | |
| (414) 265-8151 |
| Full Name | The Salvation Army - Wisconsin And Upper Michigan |
|---|---|
| Speciality | Registered Nurse |
| Location | 1730 N 7th Street, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Steven J Merritt (DIVISIONAL COMMANDER) |
| Authorized Official Contact | 4143024300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Salvation Army - Wisconsin And Upper Michigan 1730 N 7th Street Milwaukee WI 53205 Ph: (414) 265-6360 | The Salvation Army - Wisconsin And Upper Michigan 1730 N 7th Street Milwaukee WI 53205 Ph: (414) 265-6360 |
| NPI Number | 1467931691 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 08/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467931691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4340-125 (Wisconsin) | Secondary |
| 163W00000X | Registered Nurse | 52683-30 (Wisconsin) | Primary |
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