Organization
MISSION HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD CEPHUS (OWNER)
(262) 450-5045
Entity
Organization
Contact information
Practice address
4821 N 64TH ST, MILWAUKEE, WI 53218-4020
(262) 599-4468
Mailing address
4821 N 64TH ST, MILWAUKEE, WI 53218-4020
(262) 599-4468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
03/30/2026
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