# WISCONSIN HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265980767
- **Authorized official:** DR. KEMBA BANYARD APNP DNP (ADMINISTRATOR)
- **Authorized official phone:** (414) 433-7670

## Contact information

- **Practice address:** 2462 WEST LISBON AVENUE, MILWAUKEE, WI 53205
- **Practice address phone:** (414) 433-7670
- **Mailing address:** 2462 WEST LISBON AVE, MILWAUKEE, WI 53205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 09/14/2016