Organization
BLUE PEARL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANENE LANG (OWNER)
(920) 318-1352
Entity
Organization
Contact information
Practice address
8652 S MARKET PLACE, OAK CREEK, WI 53154
(920) 318-1352
Mailing address
8652 S MARKET PLACE, OAK CREEK, WI 53154
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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