Saint John's Communities, Inc. Clinic | |
1840 N Prospect Ave Milwaukee WI 53202-1975 | |
(414) 272-2022 | |
(414) 212-8161 |
Full Name | Saint John's Communities, Inc. Clinic |
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Speciality | Clinic/Center |
Location | 1840 N Prospect Ave, Milwaukee, Wisconsin |
Authorized Official Name and Position | Renee E Anderson (PRESIDENT) |
Authorized Official Contact | 4148316880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saint John's Communities, Inc. Clinic 1840 N Prospect Ave Milwaukee WI 53202-1975 Ph: (414) 272-2022 | Saint John's Communities, Inc. Clinic 1840 N Prospect Ave Milwaukee WI 53202-1975 Ph: (414) 272-2022 |
NPI Number | 1609321173 |
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Provider Enumeration Date | 08/24/2016 |
Last Update Date | 08/24/2016 |
Medicare PECOS PAC ID | 7113917543 |
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Medicare Enrollment ID | O20161109002310 |
Identifier | Type | State | Issuer |
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1609321173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Mary Kate D Uy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871829531 PECOS PAC ID: 8426234436 Enrollment ID: I20110509000439 |
Provider Name | Amy B Daniels |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598026262 PECOS PAC ID: 3870540578 Enrollment ID: I20120703000184 |
Provider Name | Abby Jean Neuberger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700287356 PECOS PAC ID: 6002035029 Enrollment ID: I20140923002366 |
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