Organization
CLEMENT J ZABLOCKI VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD GIBSON MD (DIVISION MANAGER)
(414) 384-2000
Entity
Organization
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVEUNE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
353302
WI
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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