Waukesha Health System, INC.
Clinic/Center in Waukesha, WI. Organization (NPI-2).
NPI number1346353695
StatusActive
Last updated in NPPESDec 14, 2022
Details
- NPI
- 1346353695
- Entity type
- Organization (NPI-2)
- Legal business name
- Waukesha Health System, INC.
- Organization subpart
- No
- Enumeration date
- Aug 17, 2006
- Certification date
- Dec 14, 2022
- Last updated
- Dec 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 1976 | WI | Yes |
Other names
- Behavioral Medicine Center (Doing Business As)
Practice location
721 American AveSuite 501
Waukesha, WI 53188-5071
Phone 262-928-2396 · Fax 262-544-1213
Mailing address
721 American AveSuite 501
Waukesha, WI 53188-5071
Phone 262-928-2396 · Fax 262-544-1213
Authorized official
Frederick L Syrjanen
Executive Director
2529282382
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