Organization
JIR PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA FRITSCH (CREDENTIALING AND BILLING MANAGER)
(414) 793-4277
Entity
Organization
Contact information
Practice address
13500 WATERTOWN PLANK RD, #102, ELM GROVE, WI 53122-2222
(262) 794-3076
(949) 655-2632
Mailing address
13500 WATERTOWN PLANK RD, #102, ELM GROVE, WI 53122-2222
(262) 794-3076
(949) 655-2632
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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