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Organization
CLEMENT J. ZABLOCKI VA MEDICAL CENTER
Active
Organization
CLEMENT J. ZABLOCKI VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABIGAIL ANN ZIEBELL LCSW (VETERAN JUSTICE OUTREACH COORDINATO)
(414) 384-2000
Entity
Organization
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7700-123
STATE OF WISCONSIN DEPARTMENT OF REGULATION AND LICENSING
WI
Enumeration date
05/31/2012
Last updated
05/31/2012
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