# MEDICAL GENETICS INSTITUTE, S.C.

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

## Provider details

- **NPI number:** 1437319142
- **Authorized official:** MRS. MARIA M DE ELEJALDE M.S., R.N. (VICE PRESIDENT)
- **Authorized official phone:** (414) 228-0100

## Contact information

- **Practice address:** 2311 W GOOD HOPE RD, GLENDALE, WI 53209-2735
- **Practice address phone:** (414) 228-0100
- **Practice address fax:** (414) 228-8774
- **Mailing address:** 2311 W GOOD HOPE RD, GLENDALE, WI 53209-2735
- **Mailing address phone:** (414) 228-0100
- **Mailing address fax:** (414) 228-8774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | 21932-020 | WI | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 06/16/2008
