NPI 1306257829

Milwakee Health Service Systems Ll

Organisation Preferred Provider Organization Milwaukee, WI

Practice location

Address: 4800 S 10th St, Milwaukee, WI 53221-2412
Phone: (414) 744-5370
Fax: (414) 744-9052

Authorised official

Name: Roxie Ann Smith
Title: Aoda Counelor
Phone: (414) 744-5370

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 15855-130 (WI)

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Registry record

NPI: 1306257829
Entity type: Organization
NPI issued: 19 May 2014
Record last updated: 19 May 2014

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.