Organization
NUESTRA ESPERANZA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODIE JORDAN VASSAR MD (PSYCHIATRIST)
(414) 690-0069
Entity
Organization
Contact information
Practice address
1282 E HICKORY CREEK CT, OAK CREEK, WI 53154-7316
(414) 690-0069
Mailing address
790 N MILWAUKEE ST STE 302, MILWAUKEE, WI 53202-4073
(414) 690-0069
(318) 225-8165
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
11/05/2025
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