Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HENDERSON (CLINICAL COORDINATOR)
(414) 384-2000
Entity
Organization
Contact information
Practice address
5015 S DESOTO CT, NEW BERLIN, WI 53151-7664
(414) 427-5343
Mailing address
5015 S DESOTO CT, NEW BERLIN, WI 53151-7664
(414) 427-5343
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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