Organization
THE MEDICAL COLLEGE OF WISCONSIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE NORA GHARIBIAN PHARM.D. (ASSISTANT PROFESSOR)
(414) 955-2859
Entity
Organization
Contact information
Practice address
11340 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214-1135
(800) 881-5101
Mailing address
8701 W WATERTOWN PLANK RD, MEDICAL EDUCATION BUILDING M1552, MILWAUKEE, WI 53226-3548
(414) 955-2859
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
18653-40
WI
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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