Organization
MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE MICHELS (PRACTICE MANAGER)
(262) 439-5500
Entity
Organization
Contact information
Practice address
12760 W NORTH AVE BLDG A, BROOKFIELD, WI 53005-4628
(262) 439-5500
(866) 439-5221
Mailing address
12760 W NORTH AVE, BLDG A, BROOKFIELD, WI 53005
(262) 439-5500
(866) 439-5221
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
07/21/2022
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