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JON GUDEMAN MD LLC NPI 1952611998


NPI Information

NPI: 1952611998
Provider Name: JON GUDEMAN MD LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2808 N SHEPARD AVE
MILWAUKEE, WI
ZIP 53211
Phone: (414) 332-3448
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JON GUDEMAN MD LLC is an adult mental health clinic center in Milwaukee, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. JON GUDEMAN MD LLC NPI is 1952611998. The provider is registered as an organization entity type.

The provider's business location address is:

2808 N SHEPARD AVE
MILWAUKEE, WI
ZIP 53211-432
Phone: (414) 332-3448

The provider's authorized official is Jon E Gudeman .
The authorized official title is Owner and has the following contact phone number (414) 332-3448.

The enumeration date for this NPI number is 10/8/2010 and was last updated on 10/8/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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