Organization
PKM CLINICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRIC W MATTEK PH.D. (PARTNER)
(262) 971-5015
Entity
Organization
Contact information
Practice address
W206S7867 PASADENA DR, MUSKEGO, WI 53150-9532
(262) 971-5015
(855) 210-7399
Mailing address
W206S7867 PASADENA DR, MUSKEGO, WI 53150-9532
(262) 971-5015
(855) 210-7399
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477540243
NPPES
WI
Enumeration date
10/31/2018
Last updated
10/31/2018
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