Organization
HEAR WISCONSIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD PHALEN (EXECUTIVE DIRECTOR)
(414) 604-7201
Entity
Organization
Contact information
Practice address
10243 W NATIONAL AVE, WEST ALLIS, WI 53227-2028
(414) 604-2200
(414) 604-7200
Mailing address
10243 W NATIONAL AVE, WEST ALLIS, WI 53227-2028
(414) 604-2200
(414) 604-7200
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41052000
—
WI
Enumeration date
05/10/2006
Last updated
11/16/2021
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