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Organization
IRIS HEALTH CLINIC
Active
Organization
IRIS HEALTH CLINIC
Active
Other names
Iris Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BRUNZELLE (EXECUTIVE DIRECTOR)
(262) 420-9088
Entity
Organization
Contact information
Practice address
255 W BROADWAY, WAUKESHA, WI 53186-4832
(262) 420-9088
(262) 458-4102
Mailing address
255 W BROADWAY, WAUKESHA, WI 53186-4832
(262) 420-9088
(262) 458-4102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/30/2017
Last updated
05/22/2023
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