Organization
RGN FAMILY BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JOHN GUMAN (CREDENTIALING COORDINATE)
(414) 434-0908
Entity
Organization
Contact information
Practice address
6917 W OKLAHOMA AVE, MILWAUKEE, WI 53219-2973
(414) 545-7425
Mailing address
6917 W OKLAHOMA AVE, MILWAUKEE, WI 53219-2973
(414) 545-7425
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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