# WISCONSIN CENTER FOR REGENERATIVE AND CELL MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthotic WI MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942780606
- **Authorized official:** DR. ALEXANDRA M SOLANO MD (CEO)
- **Authorized official phone:** (414) 764-9550

## Contact information

- **Practice address:** 216 GREEN BAY RD, THIENSVILLE, WI 53092-1658
- **Practice address phone:** (414) 764-9550
- **Practice address fax:** (414) 435-3110
- **Mailing address:** 216 GREEN BAY RD, THIENSVILLE, WI 53092-1658
- **Mailing address phone:** (414) 764-9550
- **Mailing address fax:** (414) 435-3110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2018
- **Last updated:** 01/24/2019