MEDICARE: MILTON E FINDLEY MS, CSAC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	2248-132	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2248-132	OTHER	WI	CSAC

General Provider Information

NPI Number	:	1205051299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILTON E FINDLEY MS, CSAC

Provider Business Mailing Address
First Line	:	210 WEST CAPITOL DRIVE
Second Line	:	HEALTHCARE FOR THE HOMELESS
City	:	MILWAUKEE
State	:	WI
Zip	:	53212
Country	:	US
Telephone Number	:	414-727-6320
Fax Number	:

Provider Business Practice Location Address
First Line	:	5144 N LYDELL AVE
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-5532
Country	:	US
Telephone Number	:	414-967-1765
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	12/03/2008

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