Healthcare Provider Details

I. General information

NPI: 1992035869
Provider Name (Legal Business Name): CLEAR MEDICAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2009
Last Update Date: 12/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 N 19TH ST
MILWAUKEE WI
53205-2054
US

IV. Provider business mailing address

1305 N 19TH ST
MILWAUKEE WI
53205-2054
US

V. Phone/Fax

Practice location:
  • Phone: 262-617-5553
  • Fax: 262-292-4077
Mailing address:
  • Phone: 262-617-5553
  • Fax: 262-292-4077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. AARON BIEBERT
Title or Position: CEO & PRESIDENT
Credential:
Phone: 414-379-9511