MEDICARE: CITY OF WAUWATOSA

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	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1427184357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF WAUWATOSA

Provider Business Mailing Address
First Line	:	7725 W NORTH AVE
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53213-1720
Country	:	US
Telephone Number	:	414-479-8936
Fax Number	:	414-471-8483

Provider Business Practice Location Address
First Line	:	7725 W NORTH AVE
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53213-1720
Country	:	US
Telephone Number	:	414-479-8936
Fax Number	:	414-471-8483

Authorized Official
Title or Position	:	HEALTH OFFICER
Name	:	MS. NANCY J KREUSER
Credential	:	PHD
Telephone Number	:	414-479-8936

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	03/16/2012

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Directions to “CITY OF WAUWATOSA ” Practice Location

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