ST. ANN CENTER FOR INTERGENERATIONAL CARE NPI 1841667466

NPI Information

ST. ANN CENTER FOR INTERGENERATIONAL CARE is a public health or welfare in Milwaukee, WI. ST. ANN CENTER FOR INTERGENERATIONAL CARE NPI is 1841667466. The provider is registered as an organization entity type.

The provider's business location address is:

2450 W NORTH AVE
MILWAUKEE, WI
ZIP 53205
Phone: (414) 977-5000

The provider's authorized official is Laura K Chereklaabs .
The authorized official title is Director Dental Programs and has the following contact phone number (414) 977-5000.

The CLIA number assigned to this NPI record is 52D2178966 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2015 and was last updated on 3/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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