MEDICARE: DANA WORLD-PATTERSON

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	101YP2500X	Professional Counselor	8950-226	WI

General Provider Information

NPI Number	:	1679419758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA WORLD-PATTERSON

Provider Business Mailing Address
First Line	:	PO BOX 11908
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-0908
Country	:	US
Telephone Number	:	414-698-4187
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2530
Country	:	US
Telephone Number	:	414-455-3879
Fax Number	:	866-719-3024

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

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “ DANA WORLD-PATTERSON ” Practice Location

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