| Blue Pearl Institute Llc | |
|
8652 S Market Place Oak Creek WI 53154 | |
| (920) 318-1352 | |
| Not Available |
| Full Name | Blue Pearl Institute Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 8652 S Market Place, Oak Creek, Wisconsin |
| Authorized Official Name and Position | Janene Lang (OWNER) |
| Authorized Official Contact | 9203181352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Pearl Institute Llc 8652 S Market Place Oak Creek WI 53154 Ph: () - | Blue Pearl Institute Llc 8652 S Market Place Oak Creek WI 53154 Ph: (920) 318-1352 |
| NPI Number | 1437413911 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437413911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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