Annette E Madison

NPI 1124469804 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1124469804
Enumeration Date 07/10/2013
Last Updated 07/03/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANNETTE ELISA ANNETTE
Position OWNER
Phone (414) 354-1030
Fax (414) 354-7584
Practice Location
6051 W BROWN DEER RD
SUITE 106
BROWN DEER WI, 53223-2263, US
Phone (414) 354-1030
Fax (414) 354-7584
Business Location
PO BOX 90108
MILWAUKEE WI, 53209-0108, US
Phone (414) 354-1030
Fax (414) 354-7584
Toxanomy
Taxonomy Code 251S00000X
License State Wisconsin
License Number 7034-123
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According to our database, Annette E Madison NPI is 1124469804, taxonomy code is 251S00000X and license number is 7034-123, license state is located at Wisconsin. Annette E Madison physically located at 6051 W Brown Deer Rd, Brown Deer WI, 53223-2263. NPI Number 1033115704 has the healthcare provider type.

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1124469804 NPI number is provided on an as is basis without warranty of any kind. 1124469804 is maintained by the National Plan & Provider Enumeration System. The contents of Annette E Madison are for informational purposes only.