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NPI Code Detail

MEDICARE: PLANNED PARENTHOOD OF WISCONSIN

MEDICARE: PLANNED PARENTHOOD OF WISCONSIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332900000XNon-Pharmacy Dispensing Site
2261QA0005XAmbulatory Family Planning Facility

General Provider Information

NPI Number : 1093989667
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLANNED PARENTHOOD OF WISCONSIN
Provider Business Mailing Address
First Line : 302 N JACKSON ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-5904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2207 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1923
Country : US
Telephone Number : 414-931-0063
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BUSINESS OPERATIONS
Name : SUSAN ODEGAARD
Credential :
Telephone Number : 414-289-3796
Provider Enumeration Date : 04/15/2008
Last Update Date : 03/27/2026

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Directions to “PLANNED PARENTHOOD OF WISCONSIN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.