Organization
MILWAUKEE VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN GRIPPEN MD (RADIOLOGIST)
(414) 384-2000
Entity
Organization
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
1703 ESCADA, SAN ANTONIO, TX 78258-4531
(210) 408-1004
(210) 408-1004
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
013746
ME
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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