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1003150004
AMS OF WISCONSIN, LLC
ONALASKA, WI
NPI
1003150004
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Entity Type
Organization
Authorized Contact
MICHAEL ERRICO
President
608-783-0506
Organization Subpart ?
No
Primary Taxonomy
261QM2800X Clinic/Center Methadone
(Licence: WI 2971)
Enumeration Date
2012-11-15
Last Update Date
2021-09-24
Business Address
AMS OF WISCONSIN, LLC
9532 E 16 FRONTAGE RD SUITE 100
ONALASKA, WI 54650-6739
Phone number: 608-783-0506
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Mailing Address
AMS OF WISCONSIN, LLC
9532 E 16 FRONTAGE RD SUITE 100
ONALASKA, WI 54650-6739
Phone number: 608-783-0506
Copy
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