Organization
CORR HEALTH WI, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PAULL (MANAGER)
(262) 274-8516
Entity
Organization
Contact information
Practice address
1433 N WATER ST, MILWAUKEE, WI 53202-2557
(414) 347-7800
Mailing address
961 BROADWAY STE 103, WOODMERE, NY 11598-1733
(262) 274-8516
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
03/24/2026
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