| Wisconsin Healthcare Services | |
|
2462 West Lisbon Avenue Milwaukee WI 53205 | |
| (414) 433-7670 | |
| Not Available |
| Full Name | Wisconsin Healthcare Services |
|---|---|
| Speciality | Clinic/center |
| Location | 2462 West Lisbon Avenue, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Kemba Banyard (ADMINISTRATOR) |
| Authorized Official Contact | 4144337670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Healthcare Services 2462 West Lisbon Ave Milwaukee WI 53205 Ph: () - | Wisconsin Healthcare Services 2462 West Lisbon Avenue Milwaukee WI 53205 Ph: (414) 433-7670 |
| NPI Number | 1265980767 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265980767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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