Organization
ADVANCED HEALTHCARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE W. MONROE M.D. (PRESIDENT)
(414) 352-3100
Entity
Organization
Contact information
Practice address
3070 N 51ST ST, MILWAUKEE, WI 53210-1645
(414) 873-7768
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
(414) 247-4590
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0587990003
DMERC
WI
Enumeration date
10/16/2006
Last updated
08/22/2020
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