Organization
UNIVERSITY CLINICIANS LLC
Active
Other names
University Clinicians Mini-Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JUDE P JEAN-PIERRE RPH (CEO)
(920) 470-7480
Entity
Organization
Contact information
Practice address
133 E COLLEGE AVE STE C, APPLETON, WI 54911-5710
(920) 470-7480
(920) 903-1452
Mailing address
133 E COLLEGE AVE, APPLETON, WI 54911-5710
(920) 470-7480
(920) 903-1452
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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