Organization
MILWAUKEE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRAN BOLDEN (BILLING SUPERVISOR)
(414) 267-3645
Entity
Organization
Contact information
Practice address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 760-3983
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 760-3983
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
10917132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43086700
—
WI
Enumeration date
06/09/2008
Last updated
06/09/2008
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