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NPI Code Detail

MEDICARE: MILWAUKEE CENTER FOR INDEPENDENCE INC

MEDICARE: MILWAUKEE CENTER FOR INDEPENDENCE INC
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
13336L0003XLong Term Care Pharmacy9246-42WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22145187OTHERPK

General Provider Information

NPI Number : 1134142839
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILWAUKEE CENTER FOR INDEPENDENCE INC
Provider Business Mailing Address
First Line : 2020 W. WELLS STREET
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-2720
Country : US
Telephone Number : 414-476-8602
Fax Number : 414-615-0626
Provider Business Practice Location Address
First Line : 2020 W. WELLS STREET
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-2720
Country : US
Telephone Number : 414-476-8602
Fax Number : 414-615-0626
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : ANDREW MAULE
Credential :
Telephone Number : 608-692-9495
Provider Enumeration Date : 07/25/2006
Last Update Date : 05/08/2024

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Practice Location Address:
2020 W WELLS ST
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1710071501 — MILWAUKEE CENTER FOR INDEPENDENCE INC
Practice Location Address:
2020 W WELLS ST
MILWAUKEE, WI
53233-2720
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Practice Fax:
1861538977 — SCHOOL FOR EARLY DEVELOPMENT & ACHIEVEMENT
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Practice Fax:
1245376748 — MILWAUKEE CENTER FOR INDEPENDENCE
Practice Location Address:
2020 W WELLS ST
MILWAUKEE, WI
53233-2720
Practice Phone: 414-937-2020
Practice Fax:

Directions to “MILWAUKEE CENTER FOR INDEPENDENCE INC ” Practice Location

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