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Organization

MILWAUKEE CENTER FOR INDEPENDENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW MAULE (DIRECTOR OF BUSINESS OPERATIONS)
(608) 692-9495
Entity
Organization

Contact information

Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2020
Mailing address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2020

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32782100
WI
Enumeration date
01/30/2007
Last updated
05/08/2024
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