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1265980767
WISCONSIN HEALTHCARE SERVICES
MILWAUKEE, WI
NPI
1265980767
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Entity Type
Organization
Authorized Contact
KEMBA BANYARD
Administrator
414-433-7670
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
WISCONSIN HEALTHCARE SERVICES
2462 WEST LISBON AVENUE
MILWAUKEE, WI 53205
Phone number: 414-433-7670
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Mailing Address
WISCONSIN HEALTHCARE SERVICES
2462 WEST LISBON AVE
MILWAUKEE, WI 53205
Phone number:
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