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Organization
SLEEP WELLNESS INSTITUTE, INC
Active
Organization
SLEEP WELLNESS INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON RON BAAKE (CEO)
(414) 336-3000
Entity
Organization
Contact information
Practice address
2356 S 102ND ST, SUITE B, WEST ALLIS, WI 53227-2104
(414) 336-3000
(414) 336-1015
Mailing address
2356 S 102ND ST, SUITE B, WEST ALLIS, WI 53227-2104
(414) 336-3000
(414) 336-1015
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110004519
WEA GROUP NUMBER
WI
01
—
1104854363
NPI DR MATHAI
—
01
—
1144380577
NPI DR HARDEN
—
01
—
1275694291
NPI DR KUMAR
—
01
—
1600270
UNITED HEALTHCARE GROUP #
WI
01
—
1811924343
NPI DR DAVOODI
—
01
—
1912981796
DR JACOBSON NPI
—
05
—
32890000
—
WI
01
—
470000838
RAILROAD MEDICARE GROUP #
WI
01
—
6758909
CIGNA GROUP NUMBER
WI
Enumeration date
11/29/2006
Last updated
03/20/2014
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