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Organization
VIVENT HEALTH INC
Active
Organization
VIVENT HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOANN BERK (SR. DIRECTOR OF CORPORATE SERVICES)
(414) 225-1568
Entity
Organization
Contact information
Practice address
1311 N 6TH ST, MILWAUKEE, WI 53212-4006
(414) 223-6800
(414) 273-2357
Mailing address
PO BOX 18412, PALATINE, IL 60055-8412
(866) 525-5484
(833) 394-4961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32895000
—
WI
05
—
38390700
—
WI
05
—
42228200
—
WI
05
—
43089200
—
WI
Enumeration date
05/11/2006
Last updated
03/25/2026
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