Organization
CRAIN H. BLIWAS M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIN H BLIWAS M.D. (PRESIDENT)
(414) 203-4500
Entity
Organization
Contact information
Practice address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(414) 203-4500
(414) 203-4503
Mailing address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(414) 203-4500
(414) 203-4503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19951
WI
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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