| Bernadette Mullins Miller Llc | |
|
2600 N Mayfair Rd Ste 305 Wauwatosa WI 53226-1303 | |
| (414) 378-0999 | |
| (414) 536-8605 |
| Full Name | Bernadette Mullins Miller Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2600 N Mayfair Rd Ste 305, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Bernadette Mullins-miller (PRESIDENT) |
| Authorized Official Contact | 4143780999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernadette Mullins Miller Llc 2600 N Mayfair Rd Ste 305 Wauwatosa WI 53226-1303 Ph: (414) 378-0999 | Bernadette Mullins Miller Llc 2600 N Mayfair Rd Ste 305 Wauwatosa WI 53226-1303 Ph: (414) 378-0999 |
| NPI Number | 1902021512 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902021512 | NPI | - | NPPES |
| 39223700 | Medicaid | WI | |
| SUFFIX B | Other | WI | HUMANA ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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