Organization
TRICHO MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLETTE JOHNSON RN (CEO)
(414) 775-6257
Entity
Organization
Contact information
Practice address
11607 W BLUEMOUND RD STE 101, WAUWATOSA, WI 53226-3960
(414) 775-6257
Mailing address
6650 W STATE ST # 230, MILWAUKEE, WI 53213-2827
(414) 467-8212
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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