Healthcare Provider Details

I. General information

NPI: 1073729331
Provider Name (Legal Business Name): DISCOVERY RESEARCH INTERNATIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 W KINNICKINNIC RIVER PKWY SUITE 414
MILWAUKEE WI
53215-3677
US

IV. Provider business mailing address

2901 W KINNICKINNIC RIVER PKWY SUITE 414
MILWAUKEE WI
53215-3677
US

V. Phone/Fax

Practice location:
  • Phone: 414-385-8680
  • Fax: 414-385-8681
Mailing address:
  • Phone: 414-385-8680
  • Fax: 414-385-8681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATTY STEWART-FRIEDLI
Title or Position: INFUSION NURSE
Credential: RN,BSN
Phone: 414-385-8680