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NPI Code Detail

MEDICARE: M & S CLINICAL SERVICES, INC

MEDICARE: M & S CLINICAL SERVICES, 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
1251S00000XCommunity/Behavioral Health Agency1546WI

General Provider Information

NPI Number : 1487878500
Entity Type Code : Organization
Provider Name (Legal Business Name) : M & S CLINICAL SERVICES, INC
Provider Business Mailing Address
First Line : 2821 N 4TH ST
Second Line : 516
City : MILWAUKEE
State : WI
Zip : 53212-2362
Country : US
Telephone Number : 414-263-6000
Fax Number : 414-263-2270
Provider Business Practice Location Address
First Line : 2821 N 4TH ST
Second Line : 516
City : MILWAUKEE
State : WI
Zip : 53212-2362
Country : US
Telephone Number : 414-263-6000
Fax Number : 414-263-2270
Authorized Official
Title or Position : CEO
Name : MARK STEVEN FOSSIE
Credential : MS, LMFT, CSAC, ICS
Telephone Number : 414-263-6000
Provider Enumeration Date : 04/12/2007
Last Update Date : 08/22/2020

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Directions to “M & S CLINICAL SERVICES, INC ” Practice Location

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