Organization · Type 2 NPI
Subdoc
Clinic/Center · Milwaukee, WI
NPI number
1477023729
Active
Practice location
7275 N Port Washington Rd Apt 314
Milwaukee, WI 53217-3337
Fax (414) 435-3126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
| Research Clinic/Center | 261QR1100X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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- Shalem Healing, Inc.Clinic/Center Milwaukee, WI NPI 1073801395
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About NPI 1477023729
Subdoc's National Provider Identifier is 1477023729, issued on Nov 29, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Milwaukee, WI. The record was last updated on May 25, 2022.