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Organization
GERALD L. IGNACE INDIAN HEALTH CENTER, INC.
Active
Organization
GERALD L. IGNACE INDIAN HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE A IGNACE M.D., M.P.H. (EXECUTIVE DIRECTOR)
(414) 383-9526
Entity
Organization
Contact information
Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 389-3881
Mailing address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 389-3881
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3040
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/02/2014
Last updated
06/19/2025
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