Organization
DEPARTMENT OF VETERANS AFFAIRS CLEMENT J. ZABLOCKI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA LIN BRUCKER (RN)
(920) 450-1684
Entity
Organization
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-1000
(414) 384-2000
Mailing address
741 W FRONT ST, APPLETON, WI 54914-5468
(920) 450-1684
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
176556-30
WI
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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