Organization
MILWAUKEE HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIA RAYCHELL WILKS-TATE RD (WIC PROJECT DIRECTOR)
(414) 372-9029
Entity
Organization
Contact information
Practice address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 372-5702
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 372-5702
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251K00000X
TAXONOMY
WI
Enumeration date
10/20/2009
Last updated
10/20/2009
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