Organization
MIDWEST WISCONSIN CORPORATE GUARDIANSHIP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENELOPE JEAN WIEDENBECK (DIRECTOR/PROGRAM MANAGER)
(920) 622-3545
Entity
Organization
Contact information
Practice address
W5461 S COUNTY ROAD A, WILD ROSE, WI 54984-9289
(920) 622-3545
(920) 622-3545
Mailing address
W5461 S COUNTY ROAD A, WILD ROSE, WI 54984-9289
(920) 622-3545
(920) 622-3545
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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