Organization
CLEMENT J. ZABLOCKI VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABIGAIL ANN ZIEBELL LCSW (VETERAN JUSTICE OUTREACH COORDINATO)
(414) 384-2000
Entity
Organization
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7700-123
STATE OF WISCONSIN DEPARTMENT OF REGULATION AND LICENSING
WI
Enumeration date
05/31/2012
Last updated
05/31/2012
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