Organization
AMS OF WISCONSIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ERRICO MS (PRESIDENT)
(608) 783-0506
Entity
Organization
Contact information
Practice address
9532 E 16 FRONTAGE RD, SUITE 100, ONALASKA, WI 54650-6739
(608) 783-0506
(608) 783-0242
Mailing address
9532 E 16 FRONTAGE RD, SUITE 100, ONALASKA, WI 54650-6739
(608) 783-0506
(608) 783-0242
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
2971
WI
Other
Enumeration date
11/15/2012
Last updated
09/24/2021
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