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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