| Premier Care Of Wisconsin, Llc. | |
|
1333 College Ave Ste M1 South Milwaukee WI 53172-1150 | |
| (414) 775-2500 | |
| (414) 301-9328 |
| Full Name | Premier Care Of Wisconsin, Llc. |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 1333 College Ave Ste M1, South Milwaukee, Wisconsin |
| Authorized Official Name and Position | Cindy Gaither (VP REVENUE CYCLE MGMT) |
| Authorized Official Contact | 6022488886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Care Of Wisconsin, Llc. 8444 N 90th St Ste 100 Scottsdale AZ 85258-4437 Ph: (602) 248-8886 | Premier Care Of Wisconsin, Llc. 1333 College Ave Ste M1 South Milwaukee WI 53172-1150 Ph: (414) 775-2500 |
| NPI Number | 1356951321 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 02/10/2024 |
| Certification Date | 02/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356951321 | NPI | - | NPPES |
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