Organization
SLEEP SERVICES OF WISCONSIN, LLC
Active
Other names
The Sleep Wellnes Institute
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON R BAAKE (CEO)
(414) 336-3000
Entity
Organization
Contact information
Practice address
11725 N PORT WASHINGTON RD, SUITE 225, MEQUON, WI 53092-3485
(262) 241-2131
Mailing address
2356 S 102ND ST, SUITE B, WEST ALLIS, WI 53227-2104
(414) 336-3000
(414) 336-1015
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
01/17/2011
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