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1417322868
PREVAIL PSYCHIATRY LLC
WAUWATOSA, WI
NPI
1417322868
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Entity Type
Organization
Authorized Contact
JUSTIN HANSON
Owner
262-716-7580
Organization Subpart ?
No
Primary Taxonomy
2084A0401X Psychiatry & Neurology, Addiction Medicine
Enumeration Date
2015-12-10
Last Update Date
2015-12-10
Business Address
PREVAIL PSYCHIATRY LLC
2222 N MAYFAIR RD
WAUWATOSA, WI 53226-2208
Phone number: 262-716-7580
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Mailing Address
PREVAIL PSYCHIATRY LLC
2222 N MAYFAIR RD
WAUWATOSA, WI 53226-2208
Phone number: 262-716-7580
Copy
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