CLEANSLATE MEDICAL GROUP OF WISCONSIN, SC

GLENDALE, WI
NPI1518404854
Entity TypeOrganization
Authorized ContactMATTHEW PHILIP SMOLAREK
CFO
412-999-5188
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date2017-01-25
Last Update Date2024-07-03
Business Address
CLEANSLATE MEDICAL GROUP OF WISCONSIN, SC
377 W RIVER WOODS PKWY STE 201
GLENDALE, WI 53212-1088
Phone number: 413-323-6880
Mailing Address
CLEANSLATE MEDICAL GROUP OF WISCONSIN, SC
8 CADILLAC DR STE 180
BRENTWOOD, TN 37027-5393
Phone number: 615-425-0220
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