| Milwaukee Health Services, Inc. | |
|
2555 N Dr Martin Luther King Dr Milwaukee WI 53212-2709 | |
| (414) 267-2021 | |
| (414) 372-7420 |
| Full Name | Milwaukee Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2555 N Dr Martin Luther King Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Tito Izard (PRESIDENT CEO) |
| Authorized Official Contact | 4142672021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milwaukee Health Services, Inc. 2555 N Dr Martin Luther King Jr Dr Milwaukee WI 53212-2709 Ph: (414) 267-2021 | Milwaukee Health Services, Inc. 2555 N Dr Martin Luther King Dr Milwaukee WI 53212-2709 Ph: (414) 267-2021 |
| NPI Number | 1518005818 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 06/18/2021 |
| Medicare PECOS PAC ID | 7416946884 |
|---|---|
| Medicare Enrollment ID | O20040511000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518005818 | NPI | - | NPPES |
| 32831100 | Medicaid | WI | |
| 32958200 | Medicaid | WI | |
| 33743200 | Medicaid | WI | |
| 42183000 | Medicaid | WI | |
| 33782900 | Medicaid | WI | |
| 33724600 | Medicaid | WI | |
| 521829 | Other | WI | MEDICARE UGS# |
| 33780500 | Medicaid | WI | |
| 44066400 | Medicaid | WI | |
| 521804 | Other | WI | MEDICAID UGS# |
| 43086700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Beth A Damitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700837879 PECOS PAC ID: 4981508413 Enrollment ID: I20031125000604 |
| Provider Name | Betty J Amuzu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679509905 PECOS PAC ID: 3072426352 Enrollment ID: I20031209000583 |
| Provider Name | Tito L Izard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013947662 PECOS PAC ID: 1850292012 Enrollment ID: I20040120000346 |
| Provider Name | Eileen M Nyholt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184654196 PECOS PAC ID: 9436042876 Enrollment ID: I20040207000350 |
| Provider Name | Nancy L Donaldson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346270345 PECOS PAC ID: 4587558689 Enrollment ID: I20040210000835 |
| Provider Name | Larry L Duenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649236985 PECOS PAC ID: 2769376631 Enrollment ID: I20040211000694 |
| Provider Name | Enid Akaninyene Okokon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679569289 PECOS PAC ID: 6507756467 Enrollment ID: I20040316001055 |
| Provider Name | Moises A Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386640811 PECOS PAC ID: 3779564166 Enrollment ID: I20040601000668 |
| Provider Name | Michael J Bohn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962411686 PECOS PAC ID: 8729060116 Enrollment ID: I20040601000804 |
| Provider Name | Inez Jane D Luna |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194812412 PECOS PAC ID: 2062472228 Enrollment ID: I20041013000350 |
| Provider Name | Kimberlie A Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528053865 PECOS PAC ID: 0345207619 Enrollment ID: I20041217000783 |
| Provider Name | Michael W Shefsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598930810 PECOS PAC ID: 7810949260 Enrollment ID: I20050215000153 |
| Provider Name | Edgar B Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598833410 PECOS PAC ID: 6103879697 Enrollment ID: I20050224000385 |
| Provider Name | Steven D Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053390849 PECOS PAC ID: 3678487360 Enrollment ID: I20050729000893 |
| Provider Name | Lakesha Y Lawrence |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700949971 PECOS PAC ID: 0840216834 Enrollment ID: I20051019000431 |
| Provider Name | Kelly A Bruhn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144256553 PECOS PAC ID: 7315967619 Enrollment ID: I20051201000423 |
| Provider Name | Nicole M Pfaff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861422883 PECOS PAC ID: 3779504980 Enrollment ID: I20051215000643 |
| Provider Name | Arthur R Mines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851438584 PECOS PAC ID: 3173533650 Enrollment ID: I20060427000591 |
| Provider Name | Linda N Meurer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508817354 PECOS PAC ID: 5991717050 Enrollment ID: I20060608000260 |
| Provider Name | Amy K Borkowski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174572499 PECOS PAC ID: 3779595327 Enrollment ID: I20060622000191 |
| Provider Name | John P Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942317292 PECOS PAC ID: 9830196138 Enrollment ID: I20061030000428 |
| Provider Name | Ngozi Catherine Obiora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417918939 PECOS PAC ID: 4284632886 Enrollment ID: I20061114000573 |
| Provider Name | Enid A Trotman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174602619 PECOS PAC ID: 1456455161 Enrollment ID: I20070404000529 |
| Provider Name | Natasha M Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114119559 PECOS PAC ID: 0244322246 Enrollment ID: I20070822001019 |
| Provider Name | David P Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235180084 PECOS PAC ID: 5799864989 Enrollment ID: I20080429000618 |
| Provider Name | Erin L Parkinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164533790 PECOS PAC ID: 0840366225 Enrollment ID: I20080909000307 |
| Provider Name | Teresa M Skora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275719411 PECOS PAC ID: 2769544519 Enrollment ID: I20090102000471 |
| Provider Name | Valeria D Hairston |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669445037 PECOS PAC ID: 0446317697 Enrollment ID: I20090316000411 |
| Provider Name | Laura T Brusky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093885659 PECOS PAC ID: 7214083203 Enrollment ID: I20090916000266 |
| Provider Name | Jane A Chevako |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225048622 PECOS PAC ID: 3678629490 Enrollment ID: I20090921000331 |
| Provider Name | Katharine D Van Fossen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1356316483 PECOS PAC ID: 5698854180 Enrollment ID: I20100421000892 |
| Provider Name | Sabina Diehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003867185 PECOS PAC ID: 5698807758 Enrollment ID: I20100726000265 |
| Provider Name | Camille B Garrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356415178 PECOS PAC ID: 5597807750 Enrollment ID: I20101213000061 |
| Provider Name | Carla L Wright |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861539421 PECOS PAC ID: 1355512377 Enrollment ID: I20110923000522 |
| Provider Name | Rozina Idrees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821033432 PECOS PAC ID: 7618130428 Enrollment ID: I20120515000119 |
| Provider Name | Rebecca S Bernstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184859316 PECOS PAC ID: 8022264688 Enrollment ID: I20120814000367 |
| Provider Name | Lori L Hartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427300680 PECOS PAC ID: 9931353422 Enrollment ID: I20130211000059 |
| Provider Name | Glenn A Tuckman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821091620 PECOS PAC ID: 3173411527 Enrollment ID: I20130701000308 |
| Provider Name | Zarah R Maccoux |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689007890 PECOS PAC ID: 3779710637 Enrollment ID: I20131220001563 |
| Provider Name | Julie J Noel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861626012 PECOS PAC ID: 8022246610 Enrollment ID: I20140103000987 |
| Provider Name | Gretchen E Mccool |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720336274 PECOS PAC ID: 7911156815 Enrollment ID: I20140508000389 |
| Provider Name | Jennifer Carrasco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528353422 PECOS PAC ID: 5395969430 Enrollment ID: I20140612000111 |
| Provider Name | Seth A Bodden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619264447 PECOS PAC ID: 6305085523 Enrollment ID: I20140923002432 |
| Provider Name | Akintunde A Bowden |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962804534 PECOS PAC ID: 4082836853 Enrollment ID: I20141111000831 |
| Provider Name | Lyah Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649668559 PECOS PAC ID: 3779808423 Enrollment ID: I20150220002252 |
| Provider Name | Annelise M Carlson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720153075 PECOS PAC ID: 2860493772 Enrollment ID: I20150331000917 |
| Provider Name | Aronica V Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447318530 PECOS PAC ID: 9739248451 Enrollment ID: I20150526001066 |
| Provider Name | Alicia N Blakley |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609155498 PECOS PAC ID: 9436479870 Enrollment ID: I20150526001726 |
| Provider Name | James H Godfrey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366584617 PECOS PAC ID: 3375676760 Enrollment ID: I20150813010717 |
| Provider Name | Mohsin Ghadiali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417272667 PECOS PAC ID: 7618274432 Enrollment ID: I20160725000457 |
| Provider Name | Nicole Ebel Mubanga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285976563 PECOS PAC ID: 8527285030 Enrollment ID: I20161007000817 |
| Provider Name | Octavia Manuel-wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598950396 PECOS PAC ID: 6406129352 Enrollment ID: I20170829001736 |
| Provider Name | Duachy Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285157354 PECOS PAC ID: 3173897477 Enrollment ID: I20171214000665 |
| Provider Name | Bao Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225548712 PECOS PAC ID: 4385902550 Enrollment ID: I20171215001454 |
| Provider Name | David A Songco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881025864 PECOS PAC ID: 7719249846 Enrollment ID: I20180329000674 |
| Provider Name | Adela Jeanette Brodek |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740776525 PECOS PAC ID: 0446507073 Enrollment ID: I20180727000382 |
| Provider Name | Michelle R Aumann |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962998260 PECOS PAC ID: 2264780741 Enrollment ID: I20180731000697 |
| Provider Name | Lyndsay Zabkowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225516289 PECOS PAC ID: 4880943802 Enrollment ID: I20180823001491 |
| Provider Name | Anna L Anklam |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487129565 PECOS PAC ID: 9335483338 Enrollment ID: I20181203000671 |
| Provider Name | Peter Abraham Hebl |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225503998 PECOS PAC ID: 5991049546 Enrollment ID: I20181207001800 |
| Provider Name | Ashanti Alexandria Dean |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780153387 PECOS PAC ID: 6709121353 Enrollment ID: I20181231000454 |
| Provider Name | Bryan E Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053773374 PECOS PAC ID: 0143582106 Enrollment ID: I20190819000081 |
| Provider Name | Megan Marie Vosswinkel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093285140 PECOS PAC ID: 6901135094 Enrollment ID: I20190916002119 |
| Provider Name | Joseph W Gravel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205824786 PECOS PAC ID: 6305871831 Enrollment ID: I20200103002009 |
| Provider Name | James H Stockton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487016267 PECOS PAC ID: 1456647841 Enrollment ID: I20200622001489 |
| Provider Name | Mary Felicia Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558502153 PECOS PAC ID: 9133547615 Enrollment ID: I20200915002840 |
| Provider Name | Emilee Kae Packee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447859996 PECOS PAC ID: 2668882234 Enrollment ID: I20201110002528 |
| Provider Name | Timothy Rong Ng |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477159234 PECOS PAC ID: 5890108245 Enrollment ID: I20210105000358 |
| Provider Name | Jennifer Lynn Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083209035 PECOS PAC ID: 8628484151 Enrollment ID: I20210309001037 |
| Provider Name | Bao Xiong-mdshahrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316522303 PECOS PAC ID: 7012325061 Enrollment ID: I20210413000721 |
| Provider Name | Tiera Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982203857 PECOS PAC ID: 5597173799 Enrollment ID: I20210427001927 |
| Provider Name | Kezza Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700405396 PECOS PAC ID: 4981012119 Enrollment ID: I20210428000077 |
| Provider Name | Swapna Upparlapalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356879514 PECOS PAC ID: 7012326242 Enrollment ID: I20210429000964 |
| Provider Name | Allyson Caselberry |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356920078 PECOS PAC ID: 3577965433 Enrollment ID: I20210714002652 |
| Provider Name | Flora Agyei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336446806 PECOS PAC ID: 2062815426 Enrollment ID: I20210722000623 |
| Provider Name | Monique Pogreba |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932872413 PECOS PAC ID: 6305240474 Enrollment ID: I20210811002496 |
| Provider Name | Lashonda Miranda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528452059 PECOS PAC ID: 9931592011 Enrollment ID: I20220214001073 |
| Provider Name | Catherine L Troncone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669029583 PECOS PAC ID: 5092148767 Enrollment ID: I20220412002334 |
| Provider Name | Allison N Strauss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750841680 PECOS PAC ID: 8820402530 Enrollment ID: I20220716000496 |
| Provider Name | Johnisha S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811697568 PECOS PAC ID: 7012381627 Enrollment ID: I20230322002136 |
| Provider Name | Mackenzie Broeren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407533672 PECOS PAC ID: 5496115313 Enrollment ID: I20230724001843 |
| Provider Name | Ellen M Hallberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942838941 PECOS PAC ID: 8022484286 Enrollment ID: I20230803001345 |
| Provider Name | Rhandi N Roberson Willson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902590185 PECOS PAC ID: 7113389941 Enrollment ID: I20230810003649 |
| Provider Name | Latoya S. Love |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548694003 PECOS PAC ID: 1951751791 Enrollment ID: I20231220001481 |
| Provider Name | Sharon Renee Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497869994 PECOS PAC ID: 9335599695 Enrollment ID: I20231228002074 |
Community Based Residential Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3910 W Burleigh St, Milwaukee, WI 53210 Phone: 414-445-3607 Fax: 414-445-6575 | |
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Muhammad Akbar Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-365-3210 Fax: 414-365-3225 | |
La Clinica Latina Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-645-6666 Fax: 414-645-6732 | |
Medzone Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7115 W Capitol Dr, Milwaukee, WI 53216 Phone: 414-395-0009 | |
Jeremias B. Vinluan M.d. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 N 35th St, Suite 204, Milwaukee, WI 53208 Phone: 414-342-2606 Fax: 414-342-0789 | |
Romeo C Lo Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 Phone: 414-383-4700 Fax: 414-383-4759 |