| Carroll University Inc. | |
|
100 N East Ave Waukesha WI 53186-3103 | |
| (262) 524-7233 | |
| (262) 650-4897 |
| Full Name | Carroll University Inc. |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 100 N East Ave, Waukesha, Wisconsin |
| Authorized Official Name and Position | Pamela Dolata (NP, STUDENT HEALTH CENTER DIRECTOR) |
| Authorized Official Contact | 2625247233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll University Inc. 100 N East Ave Waukesha WI 53186-3103 Ph: (262) 524-7233 | Carroll University Inc. 100 N East Ave Waukesha WI 53186-3103 Ph: (262) 524-7233 |
| NPI Number | 1740094192 |
|---|---|
| Provider Enumeration Date | 02/05/2025 |
| Last Update Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740094192 | NPI | - | NPPES |
| 1932326204 | Medicaid | WI | |
| 1659488187 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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