Organization
TEAM REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN A MASSE' (CFO)
(414) 355-7157
Entity
Organization
Contact information
Practice address
9450 N 107TH ST, MILWAUKEE, WI 53224-1106
(414) 355-7157
(414) 355-7935
Mailing address
9450 N 107TH ST, MILWAUKEE, WI 53224-1106
(414) 355-7157
(414) 355-7935
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111002
HEALTH PARTNERS
WI
05
—
41812700
—
WI
01
—
555715
DEAN HEALTH PLAN
WI
Enumeration date
11/02/2005
Last updated
08/22/2020
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