Organization
WISCONSIN COMMUNITY SERVICES, INC.
Active
Organization
WISCONSIN COMMUNITY SERVICES, INC.
Active
Other names
Unlimited Potential
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLIS ANN PATZER (EXECUTIVE DIRECTOR)
(414) 290-0400
Entity
Organization
Contact information
Practice address
230 W. WELLS ST., SUITE 500, MILWAUKEE, WI 53203-1845
(414) 290-0440
(414) 226-0351
Mailing address
3732 W. WISCONSIN AVENUE, MILWAUKEE, WI 53208-3166
(414) 290-0400
(414) 271-4605
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
52D0914885
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32920400
—
WI
Enumeration date
06/19/2008
Last updated
06/11/2014
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