Organization
THE SLEEP WELLNESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON BAAKE (CEO)
(414) 336-3000
Entity
Organization
Contact information
Practice address
2356 S 102ND ST, WEST ALLIS, WI 53227-2104
(414) 336-3000
(414) 336-1015
Mailing address
1414 N TAYLOR DR, SUITE 100, SHEBOYGAN, WI 53081-1988
(414) 336-3000
(414) 336-1015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD431468
PA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
WI-112764
WI
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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