Organization
WISCONSIN COMMUNITY SERVICES, INC. DRUG EVALUATION LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLIS PATZER (EXECUTIVE DIRECTOR)
(414) 290-0418
Entity
Organization
Contact information
Practice address
949 N 9TH ST, ROOM 131E, MILWAUKEE, WI 53233-1422
(414) 223-1329
(414) 223-1836
Mailing address
3732 W WISCONSIN AVE, SUITE 200, MILWAUKEE, WI 53208-3153
(414) 290-0400
(414) 271-4605
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2133-800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32920400
—
WI
Enumeration date
04/10/2007
Last updated
07/30/2007
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