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NPI Code Detail

MEDICARE: PLANNED PARENTHOOD OF WI, INC.

MEDICARE: PLANNED PARENTHOOD OF WI, 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
1363L00000XNurse Practitioner
2261QF0050XNon-Surgical Family Planning Clinic/Center

General Provider Information

NPI Number : 1326169046
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLANNED PARENTHOOD OF WI, INC.
Provider Business Mailing Address
First Line : 302 N JACKSON ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-5904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 302 N JACKSON ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-5904
Country : US
Telephone Number : 414-289-3701
Fax Number :
Authorized Official
Title or Position : DIRECTOR, BUSINESS OPERATIONS
Name : SUSAN MARIE ODEGAARD
Credential :
Telephone Number : 414-289-3796
Provider Enumeration Date : 04/02/2007
Last Update Date : 04/08/2020

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Directions to “PLANNED PARENTHOOD OF WI, INC. ” Practice Location

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