Organization
MIDEL INCORPORATED
Active
Other names
Michalenes
Organization subpart
No
Provider details
NPI number
Authorized official
DELBERT WILLIAM VANSTONE (PRESIDENT)
(414) 254-1495
Entity
Organization
Contact information
Practice address
530 NORTH UNION ST., RIPON, WI 54971
(920) 745-2959
(920) 745-2121
Mailing address
W304N1860 MAPLE AVE, PEWAUKEE, WI 53072-4709
(414) 254-1495
(262) 369-8390
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
410411
WI
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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