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Organization
MILWAUKEE HEALTH SERVICES, INC.
Active
Organization
MILWAUKEE HEALTH SERVICES, INC.
Active
Other names
ISAAC COGGS HERITAGE HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TITO IZARD MD (PRESIDENT CEO)
(414) 267-2021
Entity
Organization
Contact information
Practice address
8200 W SILVER SPRING DR, MILWAUKEE, WI 53218-2552
(414) 760-3922
(414) 464-6184
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
8664042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110937
PK
—
Enumeration date
06/26/2006
Last updated
09/16/2016
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