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Organization
MEDICAL GENETICS INSTITUTE, S.C.
Active
Organization
MEDICAL GENETICS INSTITUTE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA M DE ELEJALDE M.S., R.N. (VICE PRESIDENT)
(414) 228-0100
Entity
Organization
Contact information
Practice address
2311 W GOOD HOPE RD, GLENDALE, WI 53209-2735
(414) 228-0100
(414) 228-8774
Mailing address
2311 W GOOD HOPE RD, GLENDALE, WI 53209-2735
(414) 228-0100
(414) 228-8774
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
21932-020
WI
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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