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Organization
MILWAUKEE CENTER FOR INDEPENDENCE INC
Active
Organization
MILWAUKEE CENTER FOR INDEPENDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MAULE (DIRECTOR OF BUSINESS OPERATIONS)
(608) 692-9495
Entity
Organization
Contact information
Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2020
Mailing address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2020
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41806600
—
WI
01
—
526525
PTIN
WI
Enumeration date
10/03/2006
Last updated
05/08/2024
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