Unknown Individual – Psychiatry Physician, NPI 1457458747
Psychiatry Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
West Mitchell Street, Clock Tower Acres, Milwaukee, Milwaukee County, Wisconsin, 53204, United States
#223
MILWAUKEE, WI 532043383
Phone: (414) 383-4455
Fax: (414) 433-0171
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WI | |
| - | WI | |
| - | WI | |
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI | |
| General Practice | WI | |
| Nurse Practitioner | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI |
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