Whalio Doctors

NPI 1083918528

The Providers' Group INC

Organisation Point of Service Milwaukee, WI

Practice location

Address
3429 N 1st St, Milwaukee, WI 53212-1528
Phone
(414) 732-8636

Authorised official

Name
Tatia P Jackson
Title
Excutive Director
Phone
(414) 732-8636

Registered specialties (2)

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X

Registry record

NPI
1083918528
Entity type
Organization
NPI issued
24 Dec 2010
Record last updated
24 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.