Organization
MILWAUKEE HEALTH SERVICES, INC.
Active
Other names
ISAAC COGGS HERITAGE HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TITO IZARD MD (PRESIDENT CEO)
(414) 267-2021
Entity
Organization
Contact information
Practice address
8200 W SILVER SPRING DR, MILWAUKEE, WI 53218-2552
(414) 760-3922
(414) 464-6184
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
8664042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110937
PK
—
Enumeration date
06/26/2006
Last updated
09/16/2016
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