NPI Lookup
NPPES Search
Providers by State
Blog
Home
1518404854
CLEANSLATE MEDICAL GROUP OF WISCONSIN, SC
GLENDALE, WI
NPI
1518404854
Copy
Entity Type
Organization
Authorized Contact
ROBERT HUTCHISON
CFO
615-425-0220
Organization Subpart ?
No
Primary Taxonomy
207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date
2017-01-25
Last Update Date
2023-03-23
Business Address
CLEANSLATE MEDICAL GROUP OF WISCONSIN, SC
377 W RIVER WOODS PKWY STE 201
GLENDALE, WI 53212-1088
Phone number: 413-323-6880
Copy
Mailing Address
CLEANSLATE MEDICAL GROUP OF WISCONSIN, SC
8 CADILLAC DR STE 180
BRENTWOOD, TN 37027-5393
Phone number: 615-425-0220
Copy
Similar providers in Glendale, WI
JAMES RICHARD TROKEN
RISHI KORA
FARRUKH SIERE PASHA
OGNOMY SLEEP ASSOCIATES, NJ LLC
STEPHEN GLENN SIEVERS
WALEED S. NAJEEB
KURT R OELKE
MEDPOINT FAMILY CARE CENTER
STEVEN R BERGQUIST
MARK A SCHRAGER