Organization
DEPARTMENT OF HEALTH & FAMILY SERVICES
Active
Parent organization
STATE OF WISCONSIN
Other names
BMCW North Avenue
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF WISCONSIN
Authorized official
MARK RAMION (MANAGER)
(414) 220-7958
Entity
Organization
Contact information
Practice address
1730 W NORTH AVE, MILWAUKEE, WI 53205-1254
(414) 220-7833
Mailing address
1730 W NORTH AVE, MILWAUKEE, WI 53205-1254
(414) 220-7833
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43084728
—
WI
Enumeration date
07/27/2007
Last updated
07/27/2007
About Stedi
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