Organization

Wisconsin Healthcare Services

Clinic/Center in Milwaukee, WI(View on Map)

Legal Business Name

Wisconsin Healthcare Services

NPI Number

1265980767

NPI Type

Organization

Enumeration Date

09/14/2016

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2462 WEST LISBON AVE
2462 WEST LISBON AVENUE

City

Milwaukee
Milwaukee

State

WI
WI

Postal Code

53205
53205

Country

US
US

Telephone Number

N/A
(414) 433-7670

Authorized Official

Name

Dr. Kemba Banyard

Title or Position

ADMINISTRATOR

Telephone Number

(414) 433-7670

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/14/2016

Provider Address

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