Healthcare Provider Details

I. General information

NPI: 1396886115
Provider Name (Legal Business Name): CURATIVE CARE NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N 92ND ST
MILWAUKEE WI
53226-3533
US

IV. Provider business mailing address

1000 N 92ND ST
MILWAUKEE WI
53226-3533
US

V. Phone/Fax

Practice location:
  • Phone: 414-479-9249
  • Fax:
Mailing address:
  • Phone: 414-479-9249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. GARY F JETZER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 414-479-9249