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Organization
MILWAUKEE CENTER FOR INDEPENDENCE
Active
Organization
MILWAUKEE CENTER FOR INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MAULE (DIRECTOR OF OPERATIONS)
(608) 692-9495
Entity
Organization
Contact information
Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 397-2020
Mailing address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 397-2020
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91072
WPS SUBMITTER PROFILE
WI
Enumeration date
01/30/2007
Last updated
05/08/2024
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