Organization
MEQUON CLINICAL ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY E TAXMAN M.D. (PRESIDENT)
(262) 241-8100
Entity
Organization
Contact information
Practice address
11501 N PORT WASHINGTON RD, SUITE 202, MEQUON, WI 53092-3465
(262) 241-8100
(262) 241-8200
Mailing address
11501 N PORT WASHINGTON RD, SUITE 202, MEQUON, WI 53092-3465
(262) 241-8100
(262) 241-8200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
26227
WI
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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