| Seniorwell Of Wisconsin Llc | |
|
11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 | |
| (844) 882-3127 | |
| Not Available |
| Full Name | Seniorwell Of Wisconsin Llc |
|---|---|
| Speciality | Dentist |
| Location | 11414 W Park Pl Ste 202, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Kenneth King (OWNER) |
| Authorized Official Contact | 8448823127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seniorwell Of Wisconsin Llc 2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 Ph: () - | Seniorwell Of Wisconsin Llc 11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 Ph: (844) 882-3127 |
| NPI Number | 1225528250 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225528250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
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