Organization
GOODWILL INDUSTRIES OF SOUTHEASTERN WISCONSIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES J. STADLER (VICE PRESIDENT AND CFO)
(414) 358-4319
Entity
Organization
Contact information
Practice address
6055 N 91ST ST, MILWAUKEE, WI 53225-1710
(414) 353-6400
(414) 358-4283
Mailing address
6055 N 91ST ST, P.O. BOX 250973, MILWAUKEE, WI 53225-1710
(414) 353-6400
(414) 358-4283
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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