# MSN CARE

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

## Provider details

- **NPI number:** 1669032363
- **Authorized official:** MR. VYACHESLAV DUBROVSKY APNP BC (PRESIDENT)
- **Authorized official phone:** (414) 915-6255

## Contact information

- **Practice address:** 9330 W LINCOLN AVE STE 10, WEST ALLIS, WI 53227-2300
- **Practice address phone:** (414) 366-2985
- **Mailing address:** 12507 N EMILY LN, MEQUON, WI 53092-2611
- **Mailing address phone:** (414) 915-6255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2019
- **Last updated:** 08/14/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1669032363 | NPI | — |