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Organization

COUNTY OF MILWAUKEE

Active
Other names
Milwaukee County Behavioral Health / Mental Health Complex
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHERI DUQUAINE (PATIENT ACCOUNTS MANAGER)
(414) 391-8172
Entity
Organization

Contact information

Practice address
9455 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3559
(414) 257-6995
Mailing address
1220 W VLIET ST FL 3, MILWAUKEE, WI 53205-2117
(414) 257-6995

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
229
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000812
MEDICARE PTAN
WI
05
10062900
WI
Enumeration date
08/19/2006
Last updated
04/13/2023
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